Bone transport of the tibia with a motorized intramedullary lengthening nail — a case report

Kold, Søren; Christensen, Knud Stenild

doi:10.3109/17453674.2014.887953

Cited by 20 publications

(23 citation statements)

References 6 publications

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“…More recently, with the development of motorized lengthening nails, the potential for all internal bone transport has been suggested, either through use of a custom nail 14 or a lengthening nail with “plate-assisted bone segment transport” (PABST) to maintain length and alignment, which has been used in both femur and tibia. 15 , 16 In the femur, there have been anecdotal (unpublished) reports of difficulty with varus deformity during transport.…”

Section: Introductionmentioning

confidence: 99%

All Internal Bone Transport: Use of a Lengthening Nail and Double Plating for Management of Femoral Bone Loss

Wright

Bates

Heidari

et al. 2011

Strategies in Trauma and Limb Reconstruction

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Background Variety of techniques for management of segmental femoral bone loss have been described, each with different advantages and challenges during treatment. The development of motorized lengthening nails has provided a potential for all internal bone transport, avoiding some of the difficulties with external fixation in the femur. At present, there is limited published literature on experiences in this technique. Aim The development of this technique aimed to overcome the difficulties previously reported for internal bone transport in the femur, particularly varus deformity and joint stiffness. Technique We describe the technique of double plating with bone transport utilizing a magnetic lengthening nail to manage segmental femoral bone loss. The benefits of the technique are discussed, along with specific challenges and lessons that have been learned through experience of internal bone transport. Conclusion Use of a magnetic lengthening nail and double plating as a method of all internal bone transport provides an option for the management of massive femoral bone loss, while avoiding some of the challenges that have been reported with the existing techniques. Clinical significance This technique provides an additional method in the armamentarium of the trauma or limb reconstruction surgeon treating massive femoral bone loss. How to cite this article Wright J, Bates P, Heidari N, et al. All Internal Bone Transport: Use of a Lengthening Nail and Double Plating for Management of Femoral Bone Loss. Strategies Trauma Limb Reconstr 2019;14(2):94–101.

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Section: Introductionmentioning

confidence: 99%

All Internal Bone Transport: Use of a Lengthening Nail and Double Plating for Management of Femoral Bone Loss

Wright

Bates

Heidari

et al. 2011

Strategies in Trauma and Limb Reconstruction

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“…A bone transport version of FITBONE nail exists [34,43,44]. Kold et al reported a successful bone transport distance of 4 cm in a posttraumatic tibial defect with FITBONE TSA device [6]. Custom-built Phenix nails are claimed to be able to run monofocal and bifocal modes of bone transport procedures [2].…”

Section: Bone Transportmentioning

confidence: 99%

“…In these hybrid procedures, pathogens may gain access to the deep IM cavity through pin tracks [4,5]. However, with internal lengthening devices, pinsite infection and soft tissue tethering can be effectively avoided [6]. Cost is a consideration with internal lengthening rods, as they are almost twice as costly as the hexapod fixator [7,8].…”

Section: Introductionmentioning

confidence: 99%

Use of internal lengthening nails in post-traumatic sequelae

Alrabai

Gesheff

Conway

2017

International Orthopaedics (SICOT)

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External fixators are a well-established modality for treating fractures with bone defects, leg-length discrepancy, malunion, nonunion and other post-traumatic consequences. However, use of internal lengthening rods has remarkably increased recently for post-traumatic conditions. The main advantage of internal lengthening rods is eliminating pin-site complications. Internal lengthening rods are also associated with less pain. Motorised internal lengthening rods show promising performance in post-traumatic cases. Rigorous pre-operative planning is paramount to reducing lengthening-related complications. Certain types of internal lengthening rods offer bidirectional movement capability. Nail mechanism malfunction is a possibility with all kinds of nails. Direct doctor supervision is required, especially in the initial stages while the nail is lengthening. Internal lengthening nails are not as stiff as regular nails, with intricate internal mechanisms that can be broken under inattentive weightbearing activities. Preliminary positive outcomes indicate the role of internal lengthening rods in treating posttraumatic problems of leg-length discrepancy, malunion and nonunion.

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“…Authors of another study with twelve patients undergoing lengthening using the ISKD nail reported four cases (33%) of abnormal distraction rate among other complications 141 . Bone transport with a motorized intramedullary nail has also been reported 142 . Although there is cautious optimism with the new generation of lengthening nails, in-depth, patient-centered outcomes, comparative studies, and experience from other centers are needed before this technology is universally adopted over conventional techniques for limb lengthening and deformity correction.…”

Section: Computer-aided Softwarementioning

confidence: 95%