Technical considerations for the management of segmental osseous defects with an internal bone transport nail

Lee M. Zuckerman, John A. Scolaro, Matthew P. Gardner, Thomas Kern, Philipp Lanz, Stephen M. Quinnan, J. Tracy Watson, Jan Duedal Rölfing

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Traditionally, distraction osteogenesis has been accomplished with an external fixator. All internal transport utilizing magnetic intramedullary nails is a newer technique for bone reconstruction. The Precice Bone Transport Nail is a new implant that allows for noninvasive transport via a magnetically driven motor. Areas covered: This report describes the function of the Bone Transport Nail along with the technical considerations on how to successfully manage bone defects with this new technology. Appropriate use of the nail, preoperative planning, intraoperative considerations, and postoperative management are discussed in detail. Expert opinion: The Precice Bone Transport Nail utilizes the technology of the original Precice nail to provide an all-internal option for reconstruction of intercalary defects. This obviates the need for an additional plate with a standard Precice nail when performing bone transport and allows for a less invasive option that decreases operating room time. It provides a more cosmetic result than external fixation and avoids the risks of pin tract infection. Preoperative planning is essential to appropriate execution of the operative procedure and to perform a successful transport. A thorough understanding of the nail design and limitations are a prerequisite as this implant is significantly different from a standard intramedullary nail.

Original languageEnglish (US)
Pages (from-to)203-211
Number of pages9
JournalExpert Review of Medical Devices
Volume19
Issue number3
DOIs
StatePublished - 2022
Externally publishedYes

Keywords

  • Bone loss
  • distraction osteogenesis
  • intercalary defect
  • limb-salvage
  • metastatic disease
  • nonunion
  • Precice bone transport nail
  • sarcoma

ASJC Scopus subject areas

  • Surgery
  • Biomedical Engineering

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