Evaluation of the first experience of intramedullary nail lengthening using PRECICE® in a South African limb lengthening and reconstruction unit

Birkholtz, Franz; Lange, P de

doi:10.17159/2309-8309/2016/v15n1a7

Cited by 5 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A few case-control studies have compared these nails with external fixation (13–15 patients), and the largest case series on intramedullary bone lengthening reports on 92 patients (Black et al 2015 , Horn et al 2015 , Calder et al 2019 ). However, the majority of reports of complications of the FITBONE and PRECICE lengthening nails are small case series (Krieg et al 2008 , Dinçyürek et al 2012 , Birkholtz and De-Lange 2016 , Hammouda et al 2017 ). In recent years motorized intramedullary lengthening nails have become increasingly popular, and we thus hypothesized that standardized data on complications could now be extracted from the literature.…”

mentioning

confidence: 99%

Systematic review of complications with externally controlled motorized intramedullary bone lengthening nails (FITBONE and PRECICE) in 983 segments

et al. 2020

View full text Add to dashboard Cite

Background and purpose — In recent years motorized intramedullary lengthening nails have become increasingly popular. Complications are heterogeneously reported in small case series and therefore we made a systematic review of complications occurring in lower limb lengthening with externally controlled motorized intramedullary bone lengthening nails. Methods — We performed a systematic search in PubMed, EMBASE, and the Cochrane Library with medical subject headings: Bone Nails, Bone Lengthening, and PRECICE and FITBONE nails. Complications were graded on severity and origin. Results — The search identified 952 articles; 116 were full text screened, and 41 were included in the final analysis. 983 segments were lengthened in 782 patients (age 8–74 years). The distribution of nails was: 214 FITBONE, 747 PRECICE, 22 either FITBONE or PRECICE. Indications for lengthening were: 208 congenital shortening, 305 acquired limb shortening, 111 short stature, 158 with unidentified etiology. We identified 332 complications (34% of segments): Type I (minimal intervention) in 11% of segments; Type II (substantial change in treatment plan) in 15% of segments; Type IIIA (failure to achieve goal) in 5% of segments; and Type IIIB (new pathology or permanent sequelae) in 3% of segments. Device and bone complications were the most frequent. Interpretation — The overall risk of complications was 1 complication for every 3 segments lengthened. In 1 of every 4 segments, complications had a major impact leading to substantial change in treatment, failure to achieve lengthening goal, introduction of a new pathology, or permanent sequelae. However, as no standardized reporting method for complications exists, the true complication rates might be different.

show abstract

mentioning

confidence: 99%

Systematic review of complications with externally controlled motorized intramedullary bone lengthening nails (FITBONE and PRECICE) in 983 segments

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Birkholtz y colaboradores 22 describieron su experiencia inicial con el clavo Precice ® en nueve pacientes, con resultados similares a los nuestros, objetivando un alargamiento promedio de 45 mm y una precisión de 103%, registrando un total de dos complicaciones. En nuestro estudio encontramos un total de cuatro problemas que se solucionaron con tratamiento conservador, sin registrar ninguna complicación que necesitase de intervención quirúrgica.…”

Section: Discussionunclassified

Primera serie de casos de alargamiento femoral mediante clavo intramedular Precice® en nuestro centro

Marquina¹,

Novoa²,

Badía³

et al. 2022

Acta Ortopédica Mexicana

View full text Add to dashboard Cite

“…[10,11] The PRECICE nail system is available in different lengths, diameters, strokes, angulations, and entry points. [12,13] These features accommodate for various needs and challenges that one might face in clinical practice. Although this versatility is useful to utilize, tailoring these various features can present quite a challenge in itself.…”

mentioning

confidence: 99%

“…It is important to note that distraction osteogenesis through a fixator applied externally is an established technique for lower limb lengthening. [13][14][15] However, these treatments have had high complication rates, amounting to at most 3.2 complications per patient. [16,17] The pins or wires that penetrate the soft tissues trigger such complications as pain, pin-site infection, muscle transfixation, immobility, reduced joint movement, and scarring.…”

mentioning

confidence: 99%

“…[24][25][26] However, most reports of complications of PRECICE lengthening nails and FITBONE are small case series. [27][28][29][30] The popularity of motorized intramedullary lengthening nails has increased tremendously in recent years, leading to the hypothesis that the literature may now contain more standardized data on complications. This is why the authors aimed at reporting their initial unit's experience with the PRECICE nail.…”

mentioning

confidence: 99%

See 1 more Smart Citation

The PRECICE nail system: The initial Kuwaiti experience

Alsaifi

Hammady

Khaja

et al. 2021

JMSR

View full text Add to dashboard Cite

Objectives: The PRECICE system is an implantable limb lengthening intramedullary nail with remotely magnetically controlled distractors indicated for limb length discrepancy (LLD) and short stature treatment. This study reports the initial experience of the Kuwaiti deformity correction unit in utilizing the PRECICE system. Methods: Ten patients (four females and six males) were included in this study. All cases were operated using the PRECICE nail system (five antegrade femoral nails, three retrograde femoral nails, and two tibial nails). All surgeries were performed during January 2019 to February 2020. Results: The mean age of participants was 20 years (12–33 years), with a 21.6 kg/m2 mean body mass index (17–28). LLD etiologies (mean LLD = 39 mm) were congenital (n = 2), developmental (n = 2), post-traumatic non-union (n = 1), post-traumatic malunion (n = 1), post-traumatic physeal arrest (n = 1), and post-deformity correction and lengthening of the contralateral side with circular frame (n = 3). The mean distraction rate was 0.97 mm/day (range: 0.75–1.2 mm/day). Mean lengthening was 39 mm (range: 20–60 mm). Healing was confirmed at 76 days on average (range: 50–120 days). All patients reached full consolidation to regenerate bone, normal alignment, and normal joint orientation. Antegrade femur lengthening was done in five patients. One patient with a previous knee fixed flexion deformity of 25° improved to a 5° lag of extension. No complications were observed during the lengthening procedures. All the patients were followed up for a minimum of 12 months. Conclusion: The PRECICE nail system was successful in lengthening cases with different etiologies, achieving target lengths without complications. All the patients had reported excellent functional outcomes.

show abstract

Evaluation of the first experience of intramedullary nail lengthening using PRECICE® in a South African limb lengthening and reconstruction unit

Cited by 5 publications

References 23 publications

Systematic review of complications with externally controlled motorized intramedullary bone lengthening nails (FITBONE and PRECICE) in 983 segments

Systematic review of complications with externally controlled motorized intramedullary bone lengthening nails (FITBONE and PRECICE) in 983 segments

Primera serie de casos de alargamiento femoral mediante clavo intramedular Precice® en nuestro centro

The PRECICE nail system: The initial Kuwaiti experience

Contact Info

Product

Resources

About