Pain levels during distraction osteogenesis with lengthening nails in 168 cases

Degen, Nikolaus; Lopes, N. de Almeida; Wolf, F.; Fürmetz, J.; Euler, E.; Böcker, W. und Thaller, P. H. (2022): Pain levels during distraction osteogenesis with lengthening nails in 168 cases. In: European Journal of Orthopaedic Surgery and Traumatology, Bd. 33, Nr. 4: S. 1167-1172

Abstract

Purpose To firstly examine the pain levels during distraction osteogenesis (DO) with lengthening nails (LN) in a large sample. Methods 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. Results 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. Conclusion Pain levels during the distraction phase are overall low, continuously decreasing, and well manageable with mostly non-opioid analgesics.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 1633-8065
• Sprache: Englisch
• DFG: Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - 491502892