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Intramedullary Lengthening and Compression Nails

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Essential Biomechanics for Orthopedic Trauma

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Abstract

Once unpredictable, internal lengthening nails have evolved into sophisticated magnetically actuated implants that can distract or compress long bones with optimal force and high precision. These devices have fundamentally changed the field of limb lengthening and complex limb reconstruction making the entire patient experience simpler and less painful. This chapter will analyze the biomechanical performance of the magnetic internal lengthening nail, using clinical cases to demonstrate many of the techniques employed to ensure good results.

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References

  1. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop Relat Res. 1989;238:249–81.

    Article  Google Scholar 

  2. Kenawey M, Krettek C, Liodakis E, Wiebking U, Hankemeier S. Leg lengthening using intramedullary skeletal kinetic distractor: results of 57 consecutive applications. Injury. 2011;42(2):150–5.

    Article  Google Scholar 

  3. Mahboubian S, Seah M, Fragomen AT, Rozbruch SR. Femoral lengthening with lengthening over a nail has fewer complications than intramedullary skeletal kinetic distraction. Clin Orthop Relat Res. 2012;470(4):1221–31. 4.

    Article  Google Scholar 

  4. Fragomen AT, Rozbruch SR. Retrograde magnetic internal lengthening nail for acute femoral deformity correction and limb lengthening. Expert Rev Med Devices. 2017;14(10):811–20.

    Article  CAS  Google Scholar 

  5. Fragomen AT, Kurtz AM, Barclay JR, Nguyen J, Rozbruch SR. A comparison of femoral lengthening methods favors the magnetic internal lengthening nail when compared with lengthening over a nail. HSS J. 2018;14(2):166–76.

    Article  Google Scholar 

  6. Iobst CA, Rozbruch SR, Nelson S, Fragomen A. Simultaneous acute femoral deformity correction and gradual limb lengthening using a retrograde femoral nail: technique and clinical results. J Am Acad Orthop Surg. 2018;26(7):241–50.

    Article  Google Scholar 

  7. Hammouda AI, Standard SC, Robert Rozbruch S, Herzenberg JE. Humeral lengthening with the PRECICE magnetic lengthening nail. HSS J. 2017;13(3):217–23.

    Article  Google Scholar 

  8. Furmetz J, Kold S, Schuster N, Wolf F, Thaller PH. Lengthening of the humerus with intramedullary lengthening nails-preliminary report. Strategies Trauma Limb Reconstr. 2017;12(2):99–106.

    Article  Google Scholar 

  9. Hammouda AI, Jauregui JJ, Gesheff MG, Standard SC, Conway JD, Herzenberg JE. Treatment of post-traumatic femoral discrepancy with PRECICE magnetic-powered intramedullary lengthening nails. J Orthop Trauma. 2017;31(7):369–74.

    Article  Google Scholar 

  10. Hammouda AI, Jauregui JJ, Gesheff MG, Standard SC, Herzenberg JE. Trochanteric entry for femoral lengthening nails in children: is it safe? J Pediatr Orthop. 2017;37(4):258–64.

    Article  Google Scholar 

  11. Wagner P, Burghardt RD, Green SA, Specht SC, Standard SC, Herzenberg JE. PRECICE® magnetically-driven, telescopic, intramedullary lengthening nail: pre-clinical testing and first 30 patients. SICOT J. 2017;3:19.

    Article  Google Scholar 

  12. Wiebking U, Liodakis E, Kenawey M, Krettek C. Limb lengthening using the PRECICE(TM) nail system: complications and results. Arch Trauma Res. 2016;5(4):e36273.

    Article  Google Scholar 

  13. Karakoyun O, Sokucu S, Erol MF, Kucukkaya M, Kabukcuoglu YS. Use of a magnetic bone nail for lengthening of the femur and tibia. J Orthop Surg (Hong Kong). 2016;24(3):374–8.

    Article  Google Scholar 

  14. Tiefenboeck TM, Zak L, Bukaty A, Wozasek GE. Pitfalls in automatic limb lengthening - First results with an intramedullary lengthening device. Orthop Traumatol Surg Res. 2016;102(7):851–5.

    Article  CAS  Google Scholar 

  15. Laubscher M, Mitchell C, Timms A, Goodier D, Calder P. Outcomes following femoral lengthening: an initial comparison of the Precice intramedullary lengthening nail and the LRS external fixator monorail system. Bone Joint J. 2016;98-B(10):1382–8.

    Article  CAS  Google Scholar 

  16. Fragomen AT, Wellman D, Rozbruch SR. The PRECICE magnetic IM compression nail for long bone nonunions: a preliminary report. Arch Orthop Trauma Surg. 2019;139(11):1551–60.

    Article  Google Scholar 

  17. Schiedel FM, Vogt B, Tretow HL, Schuhknecht B, Gosheger G, Horter MJ, et al. How precise is the PRECICE compared to the ISKD in intramedullary limb lengthening? Reliability and safety in 26 procedures. Acta Orthop. 2014;85(3):293–8.

    Article  Google Scholar 

  18. Kirane YM, Fragomen AT, Rozbruch SR. Precision of the PRECICE internal bone lengthening nail. Clin Orthop Relat Res. 2014;472(12):3869–78.

    Article  Google Scholar 

  19. Paley D. PRECICE intramedullary limb lengthening system. Expert Rev Med Devices. 2015;12(3):231–49.

    Article  CAS  Google Scholar 

  20. Fragomen AT. Transitioning to an intramedullary lengthening and compression nail. J Orthop Trauma. 2017;31(Suppl 2):S7–S13.

    Article  Google Scholar 

  21. Landge V, Shabtai L, Gesheff M, Specht SC, Herzenberg JE. Patient satisfaction after limb lengthening with internal and external devices. J Surg Orthop Adv. 2015;24(3):174–9.

    Article  Google Scholar 

  22. Fragomen AT, Fragomen FR. Distal femoral flexion deformity from growth disturbance treated with a two-level osteotomy and internal lengthening nail. Strategies Trauma Limb Reconstr. 2017;12(3):159–67.

    Article  Google Scholar 

  23. Muthusamy S, Rozbruch SR, Fragomen AT. The use of blocking screws with internal lengthening nail and reverse rule of thumb for blocking screws in limb lengthening and deformity correction surgery. Strategies Trauma Limb Reconstr. 2016;11(3):199–205.

    Article  Google Scholar 

  24. Paley D, Tetsworth K. Mechanical axis deviation of the lower limbs. Preoperative planning of uniapical angular deformities of the tibia or femur. Clin Orthop Relat Res. 1992;(280):48–64.

    Google Scholar 

  25. Gomez C, Nelson S, Speirs J, Barnes S. Magnetic intramedullary lengthening nails and MRI compatibility. J Pediatr Orthop. 2018;38(10):e584–e7.

    Article  Google Scholar 

  26. Yilgor C, Efendiyev A, Akbiyik F, Demirkiran G, Senkoylu A, Alanay A, et al. Metal ion release during growth-friendly instrumentation for early-onset scoliosis: a preliminary study. Spine Deform. 2018;6(1):48–53.

    Article  Google Scholar 

  27. Panagiotopoulou VC, Tucker SK, Whittaker RK, Hothi HS, Henckel J, Leong JJH, et al. Analysing a mechanism of failure in retrieved magnetically controlled spinal rods. Eur Spine J. 2017;26(6):1699–710.

    Article  Google Scholar 

  28. Panagiotopoulou VC, Davda K, Hothi HS, Henckel J, Cerquiglini A, Goodier WD, et al. A retrieval analysis of the Precice intramedullary limb lengthening system. Bone Joint Res. 2018;7(7):476–84.

    Article  CAS  Google Scholar 

  29. Foong B, Panagiotopoulou VC, Hothi HS, Henckel J, Calder PR, Goodier DW, et al. Assessment of material loss of retrieved magnetically controlled implants for limb lengthening. Proc Inst Mech Eng H. 2018;232(11):1129–36.

    Article  Google Scholar 

  30. Watson JT, Sanders RW. Controlled compression nailing for at risk humeral shaft fractures. J Orthop Trauma. 2017;31(Suppl 6):S25–S8.

    Article  Google Scholar 

  31. Kim HJ, Fragomen AT, Reinhardt K, Hutson JJ Jr, Rozbruch SR. Lengthening of the femur over an existing intramedullary nail. J Orthop Trauma. 2011;25(11):681–4.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Weill Medical College of Cornell University, New York, NY, USA

    Austin T. Fragomen

  2. Limb Lengthening and Complex Reconstruction Service, The Hospital for Special Surgery, New York, NY, USA

    Austin T. Fragomen

  3. Division of Orthopaedic Surgery, Departments of Surgery & Pediatric Surgery, McGill University Health Center and Shriners Hospitals for Children–Canada, Montreal, QC, Canada

    Mitchell Bernstein

  4. Pediatric Orthopaedic Trauma, Montreal Children’s Hospital, Montreal, QC, Canada

    Mitchell Bernstein

  5. Limb Deformity Unit, Shriners Hospital for Children – Canada, Montreal, QC, Canada

    Mitchell Bernstein

  6. Orthopaedic Trauma & Limb Deformity Surgery, Montreal General Hospital, Montreal, QC, Canada

    Mitchell Bernstein

  7. Limb Lengthening and Complex Reconstruction Service, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA

    S. Robert Rozbruch

Authors
  1. Austin T. Fragomen
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  2. Mitchell Bernstein
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  3. S. Robert Rozbruch
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Corresponding author

Correspondence to Mitchell Bernstein .

Editor information

Editors and Affiliations

  1. Orthopaedic Trauma Service, Department of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA

    Brett D. Crist

  2. BayCare Health System, Lutz, FL, USA

    Joseph Borrelli Jr.

  3. Injury Repair and Recovery Program, McGill University Health Center Research Institute, Montreal, QC, Canada

    Edward J. Harvey

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Fragomen, A.T., Bernstein, M., Rozbruch, S.R. (2020). Intramedullary Lengthening and Compression Nails. In: Crist, B., Borrelli Jr., J., Harvey, E. (eds) Essential Biomechanics for Orthopedic Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-36990-3_21

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  • DOI: https://doi.org/10.1007/978-3-030-36990-3_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-36989-7

  • Online ISBN: 978-3-030-36990-3

  • eBook Packages: MedicineMedicine (R0)

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