Evidence map›Paper›PMID 33363643›Full record

ReviewStrategies in trauma and limb reconstruction

Lengthening Nails for Distraction Osteogenesis: A Review of Current Practice and Presentation of Extended Indications.

Ahmed H Barakat, Junaid Sayani, Christopher O'Dowd-Booth, Enis Guryel

Open access · diamondAbstract readReview
In one paragraph

Review in Strategies in trauma and limb reconstruction. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Preoperative planning for posttraumatic lower limb deformity correction.Bulletin of the Hospital for Joint Disease (2013) · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. [Progress of remote-control intramedullary lengthening nail and its clinical treatment concept].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  13. Motorised Intramedullary Bone Transport: A Scoping Review.Strategies in trauma and limb reconstruction
    Article
  14. Article
  15. 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

4 authors at 1 institution in 1 country.

Ahmed H BarakatDepartment of Trauma and Orthopaedics, Brighton and Sussex University Hospitals, East Sussex, England, UK.
Junaid SayaniDepartment of Trauma and Orthopaedics, Maidstone and Tunbridge Wells NHS Trust, UK.
Christopher O'Dowd-BoothDepartment of Trauma and Orthopaedics, Brighton and Sussex University Hospitals, East Sussex, England, UK.
Enis GuryelDepartment of Trauma and Orthopaedics, Brighton and Sussex University Hospitals, East Sussex, England, UK.
Maidstone and Tunbridge Wells NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCircular frames have been the gold standard of treatment for complex deformity corrections and bone loss. However, despite the success of frames, patient satisfaction has been low, and complications are frequent. Most recently, lengthening nails have been used to correct leg length discrepancies. In this article, we review the current trends in deformity correction with emphasis on bone lengthening and present our case examples on the use of lengthening nails for management of complex malunions, non-unions, and a novel use in bone transport. MATERIALS AND

methodsA nonsystematic literature review on the topic was performed. Four case examples from our institute, Brighton and Sussex University Hospitals, East Sussex, England, UK, were included.

resultsNew techniques based on intramedullary bone lengthening and deformity correction are replacing the conventional external frames. Introduction of lengthening and then nailing and lengthening over a nail techniques paved the way for popularization of the more recent lengthening nails. Lengthening nails have gone through evolution from the first mechanical nails to motorized nails and more recently the magnetic lengthening nails. Two case examples demonstrate successful use of lengthening nails for management of malunion, and two case examples describe novel use in management of non-unions, including the first report in the literature of plate-assisted bone segment transport for the longest defect successfully treated using this novel technique.

conclusionWith the significant advancement of intramedullary lengthening devices with lower complications rates and higher patient satisfaction, the era of the circular frame may be over. HOW TO CITE THIS ARTICLE: Barakat AH, Sayani J, O'Dowd-Booth C,

Indexed as

Deformity correctionDistraction osteogenesisLengthening nailsMalunionNon-union

Identifiers

PMID33363643
PMCPMC7744668
OpenAlexW3095640681

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.