Limb lengthening with PRECICE magnetic nail in pediatric patients: A systematic review

作     者：Giulia Masci Osvaldo Palmacci Raffaele Vitiello Nadia Bonfiglio Maria Beatrice Bocchi Valerio Cipolloni Giulio Maccauro Enrico Pola 

作者机构：Department of Orthopaedics and TraumatologyFondazione Policlinico Universitario A.Gemelli IRCCSRome 00168Italy Policlinico di Napoli University HospitalUniversitàdella Campania Luigi Vanvitelli School of MedicineNapoli 80100Italy 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2021年第12卷第8期

页      面：575-583页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Limbs lengthening PRECICE Nail Pediatric Dysmetria Deformities 

摘      要：BACKGROUND Limb lengthening techniques play an increasingly important role in the pediatric orthopedic *** principles of the osteogenesis distraction bonded traditionally with external fixators;however,the recent deployment of fully implantable systems has been able to overcome severities related to external *** PRECICE®is an implantable limb lengthening intramedullary nail system that is remotely controlled and magnetically *** To review the current literature available on this matter in order to assess the PRECICE clinical and radiological outcomes and its possible complications in a population of pediatric patients undergoing limb *** Only five studies met the inclusion criteria and were consequently included in the review for a total of 131 patients and 135 *** clinical and radiological outcomes of interest were:the main lengthening obtained,the distraction rate,the period of time to full weight bearing,the consolidation index,and the Association for the Study and Application of Methods of Ilizarov *** In conclusion,data collected from the articles under investigation were comparable with the exception of the consolidation ***,the study population was too small and the patients’follow-up was too short to make definitive *** This review shows that the PRECICE Nail System is still a therapeutic challenge in limb lengthening for pediatric orthopedic surgeons;however,careful preoperative planning and an accurate surgical technique could allow the correction of more complex deformities with a low rate of complications.