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Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System

Posttraumatic bone defects (BDs) remain a difficult complication for orthopaedic surgeons. Surgical goals in these reconstructive cases are to create stable limb fixation, maintain limb length, and provide adequate soft-tissue coverage. Historically, surgical approaches in these cases have required...

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Autores principales: Barinaga, Gonzalo, Beason, Austin M., Gardner, Matthew P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221376/
https://www.ncbi.nlm.nih.gov/pubmed/30192254
http://dx.doi.org/10.5435/JAAOS-D-17-00487
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author Barinaga, Gonzalo
Beason, Austin M.
Gardner, Matthew P.
author_facet Barinaga, Gonzalo
Beason, Austin M.
Gardner, Matthew P.
author_sort Barinaga, Gonzalo
collection PubMed
description Posttraumatic bone defects (BDs) remain a difficult complication for orthopaedic surgeons. Surgical goals in these reconstructive cases are to create stable limb fixation, maintain limb length, and provide adequate soft-tissue coverage. Historically, surgical approaches in these cases have required the use of an external fixator, which is associated with several postoperative complications. A plate-assisted bone segment transport (PABST) technique using a magnetic limb lengthening system eliminates the need for an external fixator and is effective for these reconstructive cases. A 51-year-old male patient presented as a category I trauma after a motorcycle collision. Osseous injury was defined as Gustilo-Anderson type IIIB distal tibia and fibula fracture (AO 42-C2). After fixation failure, the PABST technique was performed using a magnetic intramedullary limb lengthening system. Radiographic union was achieved 18 months postoperatively. This innovative surgical technique is effective in treating posttraumatic BDs without the need for limb shortening or the use of an external fixator. PABST has the potential to decrease postoperative complications in BD reconstructive cases using all-internal technology designed for limb lengthening. PABST, in this instance, uses a magnetic intramedullary nail that is controlled with a hand-held external remote to allow for precise, adjustable, and bidirectional bone segment transport.
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spelling pubmed-62213762018-11-21 Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System Barinaga, Gonzalo Beason, Austin M. Gardner, Matthew P. J Am Acad Orthop Surg Case Report Posttraumatic bone defects (BDs) remain a difficult complication for orthopaedic surgeons. Surgical goals in these reconstructive cases are to create stable limb fixation, maintain limb length, and provide adequate soft-tissue coverage. Historically, surgical approaches in these cases have required the use of an external fixator, which is associated with several postoperative complications. A plate-assisted bone segment transport (PABST) technique using a magnetic limb lengthening system eliminates the need for an external fixator and is effective for these reconstructive cases. A 51-year-old male patient presented as a category I trauma after a motorcycle collision. Osseous injury was defined as Gustilo-Anderson type IIIB distal tibia and fibula fracture (AO 42-C2). After fixation failure, the PABST technique was performed using a magnetic intramedullary limb lengthening system. Radiographic union was achieved 18 months postoperatively. This innovative surgical technique is effective in treating posttraumatic BDs without the need for limb shortening or the use of an external fixator. PABST has the potential to decrease postoperative complications in BD reconstructive cases using all-internal technology designed for limb lengthening. PABST, in this instance, uses a magnetic intramedullary nail that is controlled with a hand-held external remote to allow for precise, adjustable, and bidirectional bone segment transport. Lippincott Williams & Wilkins 2018-11-15 2018-09-25 /pmc/articles/PMC6221376/ /pubmed/30192254 http://dx.doi.org/10.5435/JAAOS-D-17-00487 Text en Copyright © 2018 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Barinaga, Gonzalo
Beason, Austin M.
Gardner, Matthew P.
Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System
title Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System
title_full Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System
title_fullStr Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System
title_full_unstemmed Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System
title_short Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System
title_sort novel surgical approach to segmental bone transport using a magnetic intramedullary limb lengthening system
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221376/
https://www.ncbi.nlm.nih.gov/pubmed/30192254
http://dx.doi.org/10.5435/JAAOS-D-17-00487
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