All Internal Segmental Bone Transport and Optional Lengthening With a Newly Developed Universal Cylinder-Kombi-Tube Module for Motorized Nails-Description of a Surgical Technique.

Segmental transport is an effective method of treatment for segmental defects, but the need for external fixation during the transport phase is a disadvantage. To avoid external fixation, we have developed a Cylinder-Kombi-Tube Segmental Transport (CKTST) module for combination with a commercially available motorized lengthening nail. This CKTST module allows for an all-internal segmental bone transport and also allows for optional lengthening if needed. The concept and surgical technique of CKTST are described and illustrated with a clinical case.

[1]  P. Calder,et al.  Outcomes following femoral lengthening: An initial comparison of the Precice intramedullary lengthening nail and the LRS external fixator monorail system. , 2016, The bone & joint journal.

[2]  C. Mauffrey,et al.  Reconstruction of Long Bone Infections Using the Induced Membrane Technique: Tips and Tricks , 2016, Journal of orthopaedic trauma.

[3]  D. Paley.  PRECICE intramedullary limb lengthening system , 2015, Expert review of medical devices.

[4]  G. Gosheger,et al.  How precise is the PRECICE compared to the ISKD in intramedullary limb lengthening? , 2014, Acta orthopaedica.

[5]  S. Rozbruch,et al.  Precision of the PRECICE® Internal Bone Lengthening Nail , 2014, Clinical orthopaedics and related research.

[6]  C. Oh,et al.  Bone transport with an external fixator and a locking plate for segmental tibial defects. , 2013, The bone & joint journal.

[7]  C. Krettek,et al.  Segmental transports for posttraumatic lower extremity bone defects: are femoral bone transports safer than tibial? , 2011, Archives of Orthopaedic and Trauma Surgery.

[8]  H. Uhthoff,et al.  [Primary Ilizarov ankle fusion for nonreconstructable tibial plafond fractures]. , 2005, Operative Orthopadie und Traumatologie.

[9]  T. Kasparis,et al.  The intramedullary skeletal kinetic distractor (ISKD): first clinical results of a new intramedullary nail for lengthening of the femur and tibia. , 2001, Injury.

[10]  F. Fitoussi,et al.  [Reconstruction of the long bones by the induced membrane and spongy autograft]. , 2000, Annales de chirurgie plastique et esthetique.

[11]  L. Schweiberer,et al.  A fully implantable motorized intramedullary nail for limb lengthening and bone transport. , 1997, Clinical orthopaedics and related research.

[12]  M. Raschke,et al.  Segmental transport after unreamed intramedullary nailing. Preliminary report of a "Monorail" system. , 1992, Clinical orthopaedics and related research.

[13]  D. Paley,et al.  Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. , 1990, Clinical orthopaedics and related research.