Evidence map›Paper›PMID 41597034›Full record

ArticleChildren (Basel, Switzerland)2025

Motorized Intramedullary Bone Transport Nail for Reconstruction of a Large Diaphyseal Bone Defect after Tumor Resection in a Child-A Case Report.

Farah Selman, Valentine Schneebeli, Stijn de Joode, Daniel Müller, Thomas Dreher

Abstract readCase Reports
In one paragraph

Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Farah SelmanDepartment of Orthopedic Surgery, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zürich, Switzerland.ORCID 0000-0001-7283-4301
Valentine SchneebeliDepartment of Orthopedic Surgery, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zürich, Switzerland.
Stijn de JoodeDepartment of Orthopedic Surgery, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zürich, Switzerland.ORCID 0000-0002-8217-0120
Daniel MüllerDepartment of Orthopedic Surgery, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zürich, Switzerland.
Thomas DreherDepartment of Orthopedic Surgery, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReconstructing large bone defects in pediatric patients after tumor resection is challenging, as conventional techniques are associated with high complication rates and morbidity. The Intramedullary Bone Transport Nail (IMBTN) may reduce these complications while preserving limb alignment and skeletal growth in pediatric oncologic reconstruction.

methodsA 15-year-old female with an osteofibrous dysplasia-like adamantinoma of the tibial diaphysis underwent complete en-bloc resection, leaving a 9 cm bone defect. An IMBTN (Precice, NuVasive) was implanted for distraction osteogenesis, with distraction starting eight days post-surgery at 0.25 mm twice daily. Follow-up visits monitored bone healing, alignment, and limb length.

resultsThe 9 cm defect was successfully reconstructed, with complete bone healing at the distraction site. Complete consolidation was confirmed at 18 months. The transport nail was removed at two years, and no further revisions were necessary. At two-year follow-up, the patient reported minimal pain on the Visual Analog Scale 1/10, and no recurrence of the tumor was noted.

conclusionsThe use of IMBTN for large bone defect reconstruction following tumor resection in pediatric patients is a safe and effective technique. It enables stable bone transport while preserving alignment, maintaining limb length, and is less invasive than traditional reconstructive approaches.

Indexed as

intramedullary bone transport nailosteofibrous dysplasia-like adamantinomareconstructiontumor resection

Identifiers

PMID41597034
PMCPMC12840563

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