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

被引:33
作者
Barinaga, Gonzalo [1 ]
Beason, Austin M. [1 ,3 ]
Gardner, Matthew P. [1 ,2 ]
机构
[1] Southern Illinois Univ, Div Orthopaed Surg, Sch Med, Springfield, IL 62702 USA
[2] Springfield Clin Orthoped Grp, Springfield, IL 62703 USA
[3] Mem Med Ctr, Springfield, IL 62781 USA
关键词
NAIL; COMPLICATIONS;
D O I
10.5435/JAAOS-D-17-00487
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:E477 / E482
页数:6
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