Humeral lengthening: Systematic Review and Meta Analysis | ||
| Benha Journal of Applied Sciences | ||
| Article 22, Volume 8, Issue 3, March 2023, Pages 151-158 PDF (559.62 K) | ||
| Document Type: Original Research Papers | ||
| DOI: 10.21608/bjas.2023.195831.1094 | ||
| Authors | ||
| Ahmed M. Abd El-Hamid* ; A.Gamal Hosny; Mohamed A.Anter | ||
| Orthopedics Surgery Dept., Fac. of Medicine. Benha Univ., Egypt | ||
| Abstract | ||
| Background: The humerus lengthening was mostly regarded an aesthetic procedure. Recent study indicates, however, that the objectives of bilateral humeral lengthening in achondroplasia are not just cosmetic, but also to restore proportions between the upper and lower limbs, extend reach, and enhance the capacity to perform perineal personal hygiene. This study's objective was to conduct a comprehensive evaluation and analysis of the outcomes of humeral lengthening. Methods: During this systematic review and meta-analysis preparation, we adhered to the PRISMA statement criteria and followed the Cochrane handbook for systematic reviews of interventions. Results: We identified eight studies discussing humeral lengthening including a total number of 158 humeri in 129 patients. The age range of patients across the studies ranged between 6.5 and 20 years. The male gender was common and ranging from 33% to 78%. The humeral lengthening was conducted among 158 humeri among them 34 in the right side. The mean length achieved was 7.7 cm among the included eight145 studies ranging from 5.1 cm to 9 cm. Pooled analysis of the involved trials showed significant association between length pre and post humeral lengthening (OR = -6.08; 95% CI: [-6.79, -5.38]; P = <0.00001). The pooled studies were not heterogenous (I2 = 0%, P < 0.46). Conclusions: The lengthening of the humerus was regarded mostly as a cosmetic procedure. Using a variety of external fixators and intramedullary (IM) nails, the humerus was extended by distraction osteogenesis. There is a statistically significant link between length before and after humeral lengthening, although neither range of motion nor functional score are affected. | ||
| Keywords | ||
| Humeral; Lengthening; Fixators and Intramedullary | ||
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