Evaluation of the first experience of intramedullary nail lengthening using PRECICE® in a South African limb lengthening and reconstruction unit.

Authors

  • FF Birkholtz
  • P De Lange

Abstract

BACKGROUND: Limb lengthening is performed through distraction osteogenesis after osteotomy and has traditionally been performed using external fixation. The PRECICE® Limb Lengthening System has recently emerged as an alternative method to control distraction. In this study, the first experience of intramedullary nail lengthening using PRECICE®, in a South African limb lengthening and reconstruction unit, was evaluated in terms of the accuracy of distraction and the number of implant-related complications that were reported 

METHODS: A total of nine patients underwent the limb lengthening procedure in 11 limb segments. Distraction of the nail was initiated by ERC (external remote controller) around 10 days after surgery at a distraction rate of 1 mm/ day. The distraction was monitored every 2 weeks by clinical and radiographic examinations. Ongoing physiotherapy rehabilitation was performed until consolidation was achieved 

RESULTS: A mean target distraction length of 45.18 mm (15 to 65 mm range) was obtained over an average follow-up period of 266 days, with an accuracy of 103% ± 18%. All the distraction segments united. Two complications were reported that were successfully treated

 CONCLUSION: Limb lengthening using the PRECICE® nail system was found to have excellent accuracy of distraction, which is reproducible between different segments and indications. Acceptable complication rates were observed in this study

 

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Published

2017-08-31