Evidence map›Paper›PMID 30192254›Full record

ArticleThe Journal of the American Academy of Orthopaedic Surgeons2018

Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System.

Gonzalo Barinaga, Austin M Beason, Matthew P Gardner

Open access · hybridAbstract read
In one paragraph

Article in The Journal of the American Academy of Orthopaedic Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. [Advances on limb reconstruction technology for bone infection].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
  3. Balanced cable bone transport of the tibia using automated motorized struts.OTA international : the open access journal of orthopaedic trauma · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Management of post-traumatic femoral defects with a monorail external fixator over an intramedullary nail.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Article
  13. Article
  14. Review
  15. Bone transport with magnetic intramedullary nails in long bone defects.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Review
  16. Article
  17. Cambridge Protocol for Management of Segmental Bone Loss.Journal of orthopaedic case reports · 2021
    Article
  18. Managing bone loss in open fractures.OTA international : the open access journal of orthopaedic trauma · 2020
    Article
  19. Article
  20. Motorised Intramedullary Bone Transport: A Scoping Review.Strategies in trauma and limb reconstruction
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Gonzalo BarinagaFrom the Division of Orthopaedic Surgery, Southern Illinois University School of Medicine, Springfield, IL (Dr. Barinaga, Dr. Beason, and Dr. Gardner), and The Springfield Clinic Orthopedic Group, Springfield, IL (Dr. Gardner), and Memorial Medical Center, Springfield, IL (Dr. Beason).
Austin M Beason
Matthew P Gardner
Mount Wachusett Community College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Posttraumatic bone defects (BDs) remain a difficult complication for orthopaedic surgeons. Surgical goals in these reconstructive cases are to create stable limb fixation, maintain limb length, and provide adequate soft-tissue coverage. Historically, surgical approaches in these cases have required the use of an external fixator, which is associated with several postoperative complications. A plate-assisted bone segment transport (PABST) technique using a magnetic limb lengthening system eliminates the need for an external fixator and is effective for these reconstructive cases. A 51-year-old male patient presented as a category I trauma after a motorcycle collision. Osseous injury was defined as Gustilo-Anderson type IIIB distal tibia and fibula fracture (AO 42-C2). After fixation failure, the PABST technique was performed using a magnetic intramedullary limb lengthening system. Radiographic union was achieved 18 months postoperatively. This innovative surgical technique is effective in treating posttraumatic BDs without the need for limb shortening or the use of an external fixator. PABST has the potential to decrease postoperative complications in BD reconstructive cases using all-internal technology designed for limb lengthening. PABST, in this instance, uses a magnetic intramedullary nail that is controlled with a hand-held external remote to allow for precise, adjustable, and bidirectional bone segment transport.

Indexed as

Bone LengtheningBone PlatesFibulaFracture Fixation, IntramedullaryFractures, BoneHumansLeg Length InequalityMagnetic PhenomenaMaleMiddle AgedPostoperative ComplicationsTibial FracturesTreatment Outcome

Identifiers

PMID30192254
PMCPMC6221376
OpenAlexW2891973975

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.