Results of Femoral Elongation Treatment Using Electromagnetic Intramedullary Nail. Preliminary Report

Tomaszewski, Ryszard; Wiktor, Łukasz; Kler, Jacek; Pethe, Karol; Gap, Artur

doi:10.5604/01.3001.0014.3233

Cited by 2 publications

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“…Tomaszewski et al [ 28 ] reported no inflammatory complications, but in 1 case, after a lengthening of more than 45 mm, they noted a knee flexion contracture of about 10° despite the physiotherapy. Moreover, they had to stop the lengthening treatment in 1 case due to the pain and femoral nerve paresthesia.…”

Section: Discussionmentioning

confidence: 99%

Limb lengthening with PRECICE magnetic nail in pediatric patients: A systematic review

Masci¹,

Palmacci²,

Vitiello³

et al. 2021

WJO

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BACKGROUND Limb lengthening techniques play an increasingly important role in the pediatric orthopedic field. The principles of the osteogenesis distraction bonded traditionally with external fixators; however, the recent deployment of fully implantable systems has been able to overcome severities related to external fixators. The PRECICE ® is an implantable limb lengthening intramedullary nail system that is remotely controlled and magnetically driven. AIM To review the current literature available on this matter in order to assess the PRECICE clinical and radiological outcomes and its possible complications in a population of pediatric patients undergoing limb lengthening. METHODS Only five studies met the inclusion criteria and were consequently included in the review for a total of 131 patients and 135 femurs. The clinical and radiological outcomes of interest were: the main lengthening obtained, the distraction rate, the period of time to full weight bearing, the consolidation index, and the Association for the Study and Application of Methods of Ilizarov score. RESULTS In conclusion, data collected from the articles under investigation were comparable with the exception of the consolidation index. Unfortunately, the study population was too small and the patients’ follow-up was too short to make definitive conclusions. CONCLUSION This review shows that the PRECICE Nail System is still a therapeutic challenge in limb lengthening for pediatric orthopedic surgeons; however, careful pre-operative planning and an accurate surgical technique could allow the correction of more complex deformities with a low rate of complications.

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Section: Discussionmentioning

confidence: 99%

Limb lengthening with PRECICE magnetic nail in pediatric patients: A systematic review

Masci¹,

Palmacci²,

Vitiello³

et al. 2021

WJO

View full text Add to dashboard Cite

show abstract

“…Antegrade femoral nails might be used in skeletally immature patients by using a trochanteric entry point; however, the age limit for avoiding avascular necrosis of the femoral head is unknown. A systematic review 19 of five studies 13 , 14 , 20 – 22 with 131 patients ranging from 7 to 18 years of age did not report radiographic nor clinical signs of femoral head necrosis when using the trochanteric entry in 135 femoral lengthenings. In very young patients, off-label extramedullary use of the lengthening nails has allowed for internal femoral lengthening in patients as young as 4 years of age.…”

Section: Internal Nail Lengtheningmentioning

confidence: 99%

What’s new in pediatric lower limb reconstruction?

Radler,

Calder,

Eidelman

et al. 2024

Journal of Children's Orthopaedics

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The last years brought many advances relevant to lower limb reconstruction. It feels like guided growth has been looked at from every angle, and still there are new emerging concepts like rotational guided growth waiting to be validated. New hexapod external devices are more accurate and easier to use, and new unilateral fixators allow for more versatile and stable fixation and lengthening. Intramedullary nail lengthening has found its place as a standard procedure for various diagnoses in children and young adults. First results of new and exciting approaches like extramedullary implantable nail lengthening and lengthening plates have been reported. Pharmaceutical treatment has changed the course of certain diseases and must be integrated and considered when making a reconstructive treatment plan. As reconstructive surgery is rapidly advancing so are the technical options for prosthetic fitting, which makes it difficult for caregivers as well as for parents to make the decision between reconstruction and amputation surgery for the most severe cases of congenital deficiencies. This review is highlighting new developments of lower limb reconstruction and is reviewing the current literature.

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Results of Femoral Elongation Treatment Using Electromagnetic Intramedullary Nail. Preliminary Report

Cited by 2 publications

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Limb lengthening with PRECICE magnetic nail in pediatric patients: A systematic review

Limb lengthening with PRECICE magnetic nail in pediatric patients: A systematic review

What’s new in pediatric lower limb reconstruction?

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