Limb lengthening and reconstruction: Intramedullary nailLLimb lengthening and reconstruction: Intramedullary nailLimb lengthening and reconstruction: Intramedullary nail EnglishOrthopaedics/MusculoskeletalSchool age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)LegsBonesProceduresCaregivers Adult (19+)NA2015-08-31T04:00:00ZSim​on P. Kelley, MBChB, FRCS (Tr and Orth);Catharine Bradley, MSc, BScPT;Alexandra Maxwell, BSc​8.0000000000000068.0000000000000528.000000000000Health (A-Z) - ProcedureHealth A-Z<p> Find out how a motorized intramedullary nail helps to lengthen your child's limb.</p><p>A motorized intramedullary nail is a type of internal limb lengthening device. Sometimes it can also straighten a crooked bone while it lengthens it.</p><p>The main difference between this device and the <a href="/Article?contentid=2543&language=English">Taylor Spatial Frame</a> and <a href="/Article?contentid=2544&language=English">monolateral rail</a> is that there are no pins or frames outside the skin. This makes the device more comfortable for a child. It is also easier to find suitable clothes to wear because the device is completely inside the leg.</p><p>The device is not suitable for all types of limb lengthening, but your surgeon can discuss with you whether it would be a good option for your child.</p><h2>Key points</h2> <ul> <li>A motorized intramedullary nail is a device that lengthens a bone and may sometimes also correct it.</li> <li>Your child’s surgeon will place it inside the bone that needs to be lengthened or corrected. This makes the device more comfortable for your child.</li> <li>The nail has a special motor that responds to a remote control. The remote control contains instructions from your child’s surgeon.</li> <li>Your child will need to use crutches to help them walk while the nail is in place.</li> <li>Once the new bone sets hard, the surgeon will remove the motorized nail device and replace it with a solid metal nail to protect the bone.</li> </ul><h2>How the intramedullary nail works</h2> <h3>Design</h3> <p>The nail contains a special motor that allows it to extend in much the same way as the lens of a telescope. This lengthening of the nail gradually spreads apart the bone at the point where it was divided during surgery. Over time, new bone grows in the space that is created.</p> <p>Once the bone has achieved its target length, the nail is left in place until the new bone sets hard. This may take many months.</p> <p>When the bone has healed, your child will have another surgery to remove the motorized nail. The surgeon will replace it with a solid metal nail to protect the newly lengthened bone.</p> <h3>Programmed adjustments</h3> <p>The motor inside the nail is controlled by a magnetic external remote control. This remote control contains instructions based on a program developed by your child’s surgeon before limb reconstruction surgery. The surgeon will review your child’s X-rays at clinic appointments and may use them to adjust the program slightly during treatment.</p><h2>How to adjust the motorized intramedullary nail</h2><p>To adjust this internal fixator, all you need to do is hold the remote control over the limb at set times. This will send a signal to the nail to lengthen a certain amount according to the program. Your child’s <a href="/Article?contentid=2546&language=English">healthcare team</a> will teach you how to do this.</p>

 

 

Limb lengthening and reconstruction: Intramedullary nail2545.00000000000Limb lengthening and reconstruction: Intramedullary nailLimb lengthening and reconstruction: Intramedullary nail LEnglishOrthopaedics/MusculoskeletalSchool age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)LegsBonesProceduresCaregivers Adult (19+)NA2015-08-31T04:00:00ZSim​on P. Kelley, MBChB, FRCS (Tr and Orth);Catharine Bradley, MSc, BScPT;Alexandra Maxwell, BSc​8.0000000000000068.0000000000000528.000000000000Health (A-Z) - ProcedureHealth A-Z<p> Find out how a motorized intramedullary nail helps to lengthen your child's limb.</p><p>A motorized intramedullary nail is a type of internal limb lengthening device. Sometimes it can also straighten a crooked bone while it lengthens it.</p><p>The main difference between this device and the <a href="/Article?contentid=2543&language=English">Taylor Spatial Frame</a> and <a href="/Article?contentid=2544&language=English">monolateral rail</a> is that there are no pins or frames outside the skin. This makes the device more comfortable for a child. It is also easier to find suitable clothes to wear because the device is completely inside the leg.</p><p>The device is not suitable for all types of limb lengthening, but your surgeon can discuss with you whether it would be a good option for your child.</p><h2>How the motorized intramedullary nail is attached to the limb</h2> <p>During surgery, the nail is placed completely inside the bone that needs to be lengthened or corrected. The surgeon will then divide the bone (in a procedure called an osteotomy) to allow the nail to lengthen or correct it over time.</p><h2>Key points</h2> <ul> <li>A motorized intramedullary nail is a device that lengthens a bone and may sometimes also correct it.</li> <li>Your child’s surgeon will place it inside the bone that needs to be lengthened or corrected. This makes the device more comfortable for your child.</li> <li>The nail has a special motor that responds to a remote control. The remote control contains instructions from your child’s surgeon.</li> <li>Your child will need to use crutches to help them walk while the nail is in place.</li> <li>Once the new bone sets hard, the surgeon will remove the motorized nail device and replace it with a solid metal nail to protect the bone.</li> </ul><h2>Does my child need to take special care with the motorized intramedullary nail?</h2><p>Your child will need <a href="/Article?contentid=1048&language=English">crutches</a> to help them walk, as they will not be able to put all their weight on the limb while it is lengthening.</p><h2>How the intramedullary nail works</h2> <h3>Design</h3> <p>The nail contains a special motor that allows it to extend in much the same way as the lens of a telescope. This lengthening of the nail gradually spreads apart the bone at the point where it was divided during surgery. Over time, new bone grows in the space that is created.</p> <p>Once the bone has achieved its target length, the nail is left in place until the new bone sets hard. This may take many months.</p> <p>When the bone has healed, your child will have another surgery to remove the motorized nail. The surgeon will replace it with a solid metal nail to protect the newly lengthened bone.</p> <h3>Programmed adjustments</h3> <p>The motor inside the nail is controlled by a magnetic external remote control. This remote control contains instructions based on a program developed by your child’s surgeon before limb reconstruction surgery. The surgeon will review your child’s X-rays at clinic appointments and may use them to adjust the program slightly during treatment.</p><h2>How to adjust the motorized intramedullary nail</h2><p>To adjust this internal fixator, all you need to do is hold the remote control over the limb at set times. This will send a signal to the nail to lengthen a certain amount according to the program. Your child’s <a href="/Article?contentid=2546&language=English">healthcare team</a> will teach you how to do this.</p>Limb lengthening and reconstruction: Intramedullary nail

Thank you to our sponsors

AboutKidsHealth is proud to partner with the following sponsors as they support our mission to improve the health and wellbeing of children in Canada and around the world by making accessible health care information available via the internet.