Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Sep;52(9):699-709.
doi: 10.1007/s00132-023-04418-x. Epub 2023 Aug 24.

[Treatment with fully implantable intramedullary distraction nails for limb lengthening-a paradigm shift]

[Article in German]
Rainer Baumgart  1 , Ulrich Lenze  2
Affiliations
Review

[Treatment with fully implantable intramedullary distraction nails for limb lengthening-a paradigm shift]

[Article in German]
Rainer Baumgart et al. Orthopadie (Heidelb). 2023 Sep.

Abstract
in English, German

More than almost any other implant, fully implantable intramedullary distraction nails have changed corrective and reconstructive bone surgery. Based on the fundamentals of callus distraction, these new apparatus developments with their novel planning strategies and minimally invasive surgical techniques have opened up a wide range of indications and made the treatment reproducible and safe. The prerequisite, however, is that standardized procedures are adhered to, which concern both the preparation for the surgery, the surgery itself and the subsequent distraction treatment. Treatment with fully implantable intramedullary distraction nails should be performed at specialized centers, so that the paradigm shift in corrective and reconstructive limb surgery, which is already recognizable, will open the door for further developments.

Wie kaum ein anderes Implantat haben voll implantierbare Distraktionsmarknägel die korrigierende und rekonstruktive Knochenchirurgie verändert. Basierend auf den Grundlagen der Kallusdistraktion haben diese neuen apparativen Entwicklungen mit neuartigen Planungsstrategien und minimal-invasiven operativen Techniken eine Vielzahl an Indikationen erschlossen und die Behandlung reproduzierbar und sicher gemacht. Voraussetzung ist aber, dass standardisierte Abläufe eingehalten werden, die sowohl die Operationsvorbereitung, die Durchführung als auch die sich anschließende Distraktionsbehandlung betreffen. Die Behandlung mit voll implantierbaren Distraktionsmarknägeln gehört an spezialisierte Zentren, damit der bereits jetzt erkennbare Paradigmenwechsel in der korrigierenden und rekonstruktiven Extremitätenchirurgie das Tor für weitere Entwicklungen öffnet.

Keywords: Distraction osteogenesis; Growing prosthesis; High hip luxation; Long standing radiograph; Reverse planning method.

PubMed Disclaimer

References

    1. Baumann F, Harms J. Der Verlängerungsnagel. Arch Orthop Trauma Surg. 1977;90:139–146. - PubMed
    1. Baumgart R. Implantable distraction nail for humerus lengthening. In: The British Editorial Society of Bone & Joint Surgery, editor. Orthopaedic Proceedings. 2022. p. 11.
    1. Baumgart R. The reverse planning method for lengthening of the lower limb using a straight intramedullary nail with or without deformity correction. A new method. Oper Orthop Traumatol. 2009;21:221–233. doi: 10.1007/s00064-009-1709-4. - DOI - PubMed
    1. Baumgart R, Betz A, Schweiberer L. A fully implantable motorized intramedullary nail for limb lengthening and bone transport. Clin Orthop Relat Res. 1997;343:135–143. doi: 10.1097/00003086-199710000-00023. - DOI - PubMed
    1. Baumgart R, Krammer M, Winkler A, et al. Reduction of high dislocation of the hip using a distraction nail before arthroplasty. J Bone Joint Surg Br. 2005;87:565–567. doi: 10.1302/0301-620X.87B4.16080. - DOI - PubMed

LinkOut - more resources