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Limb lengthening with one Precice nail over its capacity

Mesut Kariksiz and Ozgur Karakoyun
Saudi Medical Journal October 2019, 40 (10) 1058-1062; DOI: https://doi.org/10.15537/smj.2019.10.24019

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Figures

  • Figure 1
    Figure 1

    The preoperative view of the patient (A), preoperative orthoroentgenogram (B), preoperative anteroposterior direct X-ray view (C), and preoperative lateral x-ray view (D).

  • Figure 2
    Figure 2

    The Precise nail was inserted into the right tibia under anesthesia: anteroposterior direct x-ray view (A), lateral x-ray view (B). After 50 mm of lengthening had been completed: anteroposterior direct x-ray view (C), and lateral x-ray view (D).

  • Figure 3
    Figure 3

    A unilateral external fixator was applied using one Schanz screw each for the proximal and distal parts of the tibia, and the distal interlocking screw was removed under anesthesia: anteroposterior direct x-ray view (A) and lateral x-ray view (B). The patient used the external remote control in manual mode to shorten the nail by 25 mm per day over 2 days: anteroposterior direct x-ray view (C), lateral x-ray view (D).

  • Figure 4
    Figure 4

    Once the nail shortening was complete, the distal interlocking screws were placed, and the unilateral external fixator was removed under anesthesia: anteroposterior direct x-ray view (A) and lateral x-ray view (B). A total lengthening of 100 mm was obtained with the nail, the maximum capacity of which allows for 50 mm of lengthening: anteroposterior direct X-ray view (C) and lateral X-ray view (D).

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