Pain levels during distraction osteogenesis with lengthening nails in 168 cases.

To firstly examine the pain levels during distraction osteogenesis (DO) with lengthening nails (LN) in a large sample. A total of 168 cases underwent DO of the tibia or femur with five different models of LN. Under a standardized medical regime, daily pain levels were noted as nominal rating scale (NRS) score (0-10) during the distraction phase. NRS scores and several potential influence factors (LN model, bone, approach, side, age, gender) were evaluated. The mean distraction length was 39.1 ± 14.4 mm. The average NRS score decreased from postoperative day 1 with 2.84 nonlinearly by 1.03 points (36.3%) over the course of 62 days to an average score of 1.81. The mean decrease during the first thirty days was 0.67(23.6%). Subgroup analysis did not reveal any influence factors. Pain levels during the distraction phase are overall low, continuously decreasing, and well manageable with mostly non-opioid analgesics. © 2022. The Author(s).

Citation

Nikolaus Degen, N de Almeida Lopes, F Wolf, J Fürmetz, E Euler, W Böcker, P H Thaller. Pain levels during distraction osteogenesis with lengthening nails in 168 cases. European journal of orthopaedic surgery & traumatology : orthopedie traumatologie. 2023 May;33(4):1167-1172

Mesh Tags

PMID: 35476026

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