September 18, 2026 · Journal of orthopaedic trauma · DOI: 10.1097/BOT.0000000000003254

Advancements in Managing Bone Defects with Limb Length Discrepancies with a Motorized Intramedullary Combined Transport and Lengthening Nail

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This review addresses the challenges of managing large bone defects alongside limb length discrepancies, exploring the evolution of motorized intramedullary nails that can simultaneously perform bone transport and limb lengthening. The authors examine the biological rationale for using a single-construct approach, highlight clinical scenarios where this method is beneficial, and discuss the surgical techniques and challenges associated with this innovative treatment. Through this analysis, they aim to demonstrate the advantages of combined transport-lengthening implants in limb reconstruction.

Angela C Collins, Geoffrey S Marecek

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