Plate-assisted bone-segment transport in the femur with 2 internal lengthening nails: a technical note and a case report

Authors

  • Ulrik Kähler Olesen Department of Orthopedic Surgery, Limb Reconstruction, Rigshospitalet, Copenhagen, Denmark
  • John E Herzenberg Rubin Institute of Advanced Orthopedics, Baltimore, USA https://orcid.org/0000-0002-6650-9251
  • Klaus Hindsø Department of Orthopedic Surgery, Limb Reconstruction, Rigshospitalet, Copenhagen, Denmark https://orcid.org/0000-0001-5209-3024
  • Upender Martin Singh Department of Orthopedic Surgery, Limb Reconstruction, Rigshospitalet, Copenhagen, Denmark
  • Michael Mørk Petersen Department of Orthopedic Surgery, Limb Reconstruction, Rigshospitalet, Copenhagen, Denmark https://orcid.org/0000-0002-2324-6420

DOI:

https://doi.org/10.2340/17453674.2023.18493

Keywords:

bone transport nail, Bone tumours, custom made, distraction osteogenesis, double lengthening nail

Abstract

A novel technique to resolve large bone defects, using 2 internal lengthening nails (ILNs), one antegrade and one retro-grade, aligned in a custom-made tube is presented. A 28-year-old, healthy, asymptomatic male presented with a slowly growing mass in the left femur. 

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References

Morris R, Hossain M, Evans A, Pallister I. Induced membrane technique for treating tibial defects gives mixed results. Bone Joint J 2017; 99-B(5): 680-5. doi: 10.1302/0301-620X.99B5.BJJ-2016-0694.R2.

Petersen M M, Hovgaard D, Elberg J J, Rechnitzer C, Daugaard S, Muhic A. Vascularized fibula grafts for reconstruction of bone defects after resection of bone sarcomas. Sarcoma 2010; 2010: 524721. doi: 10.1155/2010/524721.

Catagni M A, Azzam W, Guerreschi F, Lovisetti L, Poli P, Khan M S, et al. Trifocal versus bifocal bone transport in treatment of long segmental tibial bone defects. Bone Joint J 2019; 101-B(2): 162-9. doi: 10.1302/0301-620X.101B2.BJJ-2018-0340.R2. PMID: 30700126.

Liu K, Liu Y, Cai F, Fan C, Ren P, Yusufu A. Efficacy comparison of trifocal bone transport using unilateral external fixator for femoral and tibial bone defects caused by infection. BMC Surgery 2022; 22(1): 141. doi: 10.1186/s12893-022-01586-z.

Kähler Olesen U, Nygaard T, Prince D E, Gardner M P, Singh U M, McNally M A, et al. Plate-assisted bone segment transport with motorized lengthening nails and locking plates: a technique to treat femoral and tibial bone defects. J Am Acad Orthop Surg Glob Res Rev 2019; 3(8): e064. doi: 10.5435/JAAOSGlobal-D-19-00064.

Kähler Olesen U, Herzenberg J E. Bone transport with internal devices. Techniques in Orthopaedics 2020; 35(3): 219-24. doi: 10.1097/BTO.0000000000000474.

Morgenstern M, Vallejo A, McNally M A, Moriarty T F, Ferguson J Y, Nijs S, et al. The effect of local antibiotic prophylaxis when treating open limb fractures: a systematic review and meta-analysis. Bone Joint Res 2018; 7(7): 447-56. doi: 10.1302/2046-3758.77.BJR-2018-0043.R1. PMID: 30123494; PMCID: PMC6076360.

Major Extremity Trauma Research Consortium (METRC). Modern external ring fixation versus internal fixation for treatment of severe open tibial fractures: a randomized clinical trial (FIXIT study). J Bone Joint Surg 2022; 104(12): 1061-7. doi: 10.2106/JBJS.21.01126.

Jacobs N, Stubbs D, McNally M. Ilizarov distraction osteogenesis for reconstruction of long bone defects following primary malignant bone tumour resection. Int J Orthop 2019; 2(2): 58-69.

Accadbled F, Thévenin Lemoine C, Poinsot E, Baron Trocellier T, Dauzere F, Sales de Gauzy J. Bone reconstruction after malignant tumour resection using a motorized lengthening intramedullary nail in adolescents: preliminary results. J Child Orthop 2019; 13(3): 324-9. doi: 10.1302/1863-2548.13.190016.

Quinnan S M, Lawrie C. Optimizing bone defect reconstruction: balanced cable transport with circular external fixation. J Orthop Trauma 2017; 31(10): e347-e355.

Krettek C, El Naga A. All internal segmental bone transport and optional lengthening with a newly developed universal cylinder-kombitube module for motorized nails: description of a surgical technique. J Orthop Trauma 2017; 31(Suppl. 5): S39-S41.

Hwang J, Sems S, Yuan B. Trifocal tibial bone transport using a magnetic intramedullary nail: a case report. JBJS Case Connect 2021; 11(4). doi: 10.2106/JBJS.CC.20.01036.

Rachbauer A, Laufer A, Gosheger G, Toporowski G, Frommer A, Jacob E, et al. Fibula-assisted segment transport (FAST) for defect reconstruction after resection of tibial adamantinoma: report of two treatments. Case Rep Orthop 2021; 2021: 5563931. doi: 10.1155/2021/5563931.

Jellesen M S, Lomholt T N, Hansen R Q, Mathiesen T, Gundlach C, Kold S, et al. The STRYDE limb lengthening nail is susceptible to mechanically assisted crevice corrosion: an analysis of 23 retrieved implants. Acta Orthop 2021; 92(5): 621-7. doi: 10.1080/17453674.2021.1927506.

Rölfing J H D, Kold S, Nygaard T, Mikuzis M, Brix M, Faergemann C, et al. Pain, osteolysis, and periosteal reaction are associated with the STRYDE limb lengthening nail: a nationwide cross-sectional study. Acta Orthop 2021; 92(4): 479-84. doi: 10.1080/17453674.2021.1903278.

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Published

2023-09-13

How to Cite

Olesen, U. K., Herzenberg, J. E., Hindsø, K., Singh, U. M., & Petersen, M. M. (2023). Plate-assisted bone-segment transport in the femur with 2 internal lengthening nails: a technical note and a case report. Acta Orthopaedica, 94, 466–470. https://doi.org/10.2340/17453674.2023.18493

Issue

Vol. 94 (2023): Acta Orthopaedica

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Copyright (c) 2023 Ulrik Kähler Olesen, John E Herzenberg, Klaus Hindsø, Upender Martin Singh, Michael Mørk Petersen

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC licences, unless otherwise specified, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
 
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