We are approaching a new paradigm in the surgical treatment of musculoskeletal deformities, limb length discrepancies, and skeletal defects. Wherever possible, ingenious surgeons, aided by inventive engineers, are doing their best to eliminate painful and infection-prone external skeletal fixators in favor of fully internal mechanisms, even if this requires 2 or more staged operations to accomplish the ultimate goal.
In October 2016, NuVasive Specialized Orthopedics, a division of NuVasive, Inc, sponsored an Industry Symposium at the annual meeting of the Orthopaedic Trauma Association in Washington, DC. The workshop focused on the use of the PRECICE intramedullary lengthening nail and the PRECICE UNYTE compression nail for trauma related applications.
The program started with Dr Stuart Green's review of the historical perspective of limb lengthening, both before and after Dr G. A. Ilizarov's discovery of distraction osteogenesis. This presentation was followed by Dr. Austin Fragomen's explanation of how a surgeon can transition from using external fixator limb elongation, to lengthening using a remotely-controlled intramedullary nail. Thereafter, Dr Robert Rozbruch presented clinical examples of posttraumatic limb reconstruction and deformity correction, using the PRECICE nail. Dr Mitchell Bernstein provided specific details regarding the planning, insertion, and use, of the PRECICE intramedullary lengthening nail in lower extremity applications. The meeting ended with a presentation by Dr J. Tracy Watson, who introduced strategies to treat both acute fractures and delayed unions of the humerus with the PRECICE UNYTE compression nail.
The entire Industry Symposium is now available in this Supplement to the Journal of Orthopaedic Trauma. We hope you enjoy reading it.