Besides risks of early healing, complications in general depend on the patient's initial disease. For example, if one of the joints of the lengthened bone is unstable, there is a risk of dislocation. If a patient had bone infection prior to lengthening, the risk of infection is increased compared to the risk of someone with no past medical history of bone infection. With no past medical history of infection, a femoral lengthening under the control of Dr. Guichet has less than 1% risk of bone infection (against an average 16% in other teams using external fixators for instance).
Good initial clinical evaluation and careful follow-up allows lengthening procedures to be performed with few complications. After the initial evaluation, the surgeon will be able to advise the patient of likelihood of specific risk, including complications observed with other patients.Lengthening was uneventful, with an early return to normal activities.
Helping the patient understand the specific risks that necessitated the prelengthening operation helped avoid additional surgery to correct hip dislocation and long-term complications that might have occurred had preliminary stabilization not been performed.
Pictures above: A Patient with an initial hip instability. Prior to lengthening with the Albizzia® nail, stabilization of the hip was performed to help reduce risk of dislocation and subsequent complications.