TY - JOUR
T1 - Acute Deformity Correction and Lengthening with Motorized Nail
T2 - Surgical Technique
AU - Quinnan, Stephen Matthew
AU - Lezak, Bradley A.
AU - Garbrecht, Erika Lynn
N1 - Funding Information:
Dr. Quinnan is a consultant for Smith & Nephew, Globus Medical, Nuvasive, DePuy Synthes, Stryker, Osteocentric, Biocomposites, and Bone Support. Dr. Quinnan receives royalties from Globus Medical, Nuvasive, and Osteocentric. Dr. Quinnan received honorarium from the AO Foundation. He is a board member and Treasurer of the Limb Lengthening and Reconstruction Society (LLRS North America) and a member of the Research Safety Advisory board for Microbion. Dr. Garbrecht and Bradley Lezak declare that they have no known competing financial interests or personal relationships that could appear to influence the work reported in this paper.
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2021/6
Y1 - 2021/6
N2 - Limb deformity with associated limb length inequality results from many causes and can lead to significant morbidity. Internal motorized nails have revolutionized the field of limb lengthening and allow for concomitant correction of deformity and limb length inequality without the use of external fixation. These devices can be used in many adult and pediatric cases, although care must be taken to assure that successful reconstruction without contraindications is possible. Planning for an optimal outcome with these devices requires careful preoperative planning and attention to a number of technical points not typical of other treatment strategies. We also present a novel osteotomy method, the “comminuted closing wedge osteotomy,” that we have found to be beneficial in allowing for correction of larger magnitudes of deformity than would otherwise be possible and with notably improved regenerate bone formation when performing large angular corrections. Internal motorized nails combined with appropriate planning, an optimal osteotomy, appropriately placed stabilization screws, and soft tissue management offer an exciting and powerful advance in our ability to treat combined long bone deformity and shortening.
AB - Limb deformity with associated limb length inequality results from many causes and can lead to significant morbidity. Internal motorized nails have revolutionized the field of limb lengthening and allow for concomitant correction of deformity and limb length inequality without the use of external fixation. These devices can be used in many adult and pediatric cases, although care must be taken to assure that successful reconstruction without contraindications is possible. Planning for an optimal outcome with these devices requires careful preoperative planning and attention to a number of technical points not typical of other treatment strategies. We also present a novel osteotomy method, the “comminuted closing wedge osteotomy,” that we have found to be beneficial in allowing for correction of larger magnitudes of deformity than would otherwise be possible and with notably improved regenerate bone formation when performing large angular corrections. Internal motorized nails combined with appropriate planning, an optimal osteotomy, appropriately placed stabilization screws, and soft tissue management offer an exciting and powerful advance in our ability to treat combined long bone deformity and shortening.
KW - comminuted closing wedge
KW - deformity correction
KW - distraction histeogenesis
KW - distraction osteogenesis
KW - internal magnetic
KW - lengthening nail
KW - limb lengthening
KW - motorized nail
KW - osteotomy
KW - precice
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U2 - 10.1016/j.oto.2021.100878
DO - 10.1016/j.oto.2021.100878
M3 - Article
AN - SCOPUS:85106207202
VL - 31
JO - Operative Techniques in Orthopaedics
JF - Operative Techniques in Orthopaedics
SN - 1048-6666
IS - 2
M1 - 100878
ER -