Trifocal Tibial Bone Transport Using a Magnetic Intramedullary Nail: A Case Report. Issue 4 (October 2021)

• Record Type: Journal Article
• Authors: Hwang, James; Sems, Stephen; Yuan, Brandon
• Is Part Of: JBJS case connector. Volume 11:Issue 4(2021)
• Publication Date: 2021-10
• Subjects: limb lengthening -- osteomyelitis -- intramedullary nail -- bone transport -- tibia; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.01036
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: The patient sustained a pathologic fracture through chronic osteomyelitis of the tibia. Treatment involved resection of bone and soft tissue, leaving a 15-cm diaphyseal tibial defect. We designed a construct to allow for trifocal bone transport using a magnetic intramedullary lengthening nail connected to cables. This technique uses cables secured to the proximal tibia, the nail, and the transport segments. Conclusion: This case details the successful use of trifocal cable-assisted bone transport through a magnetic lengthening intramedullary nail. This technique can successfully be used to reconstruct diaphyseal bone defects that are longer than the stroke length of the magnetic nail.