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Technical Brief

Towards a Novel, Implantable Limb Lengthening Device1

[+] Author and Article Information
Daniel Farley, Heidi-Lynn Ploeg, Michael Zinn

Department of Mechanical Engineering,
University of Wisconsin–Madison,
Madison, WI 53706

Accepted and presented at the Design of Medical Devices Conference (DMD2014), Minneapolis, MN, April 7–14, 2014.

Manuscript received February 21, 2014; final manuscript received March 3, 2014; published online April 28, 2014. Editor: Arthur G. Erdman.

J. Med. Devices 8(2), 020939 (Apr 28, 2014) (2 pages) Paper No: MED-14-1029; doi: 10.1115/1.4027000 History: Received February 21, 2014; Revised March 03, 2014

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References

Paley, D., 2000, “Correction of Limb Deformities in the 21st Century,” J. Pediatr. Orthop., 20(3), pp. 279–281.
Emara, K., Farouk, A., and Diab, R., 2011, “Ilizarov Technique of Lengthening and Then Nailing for Height Increase,” J. Orthop. Surg. (Hong Kong), 19(2), pp. 204–208.
Rogers, L. C., Bevilacqua, N. J., Frykberg, R. G., and Armstrong, D. G., 2007, “Predictors of Postoperative Complications of Ilizarov External Ring Fixators in the Foot and Ankle,” J. Foot Ankle Surg., 46(5): p. 372–375. [CrossRef]
Kim, H. J., Fragomen, A. T., Reinhardt, K., Hutson, J. J., Jr., and Rozbruch, S. R., 2011, “Lengthening of Femur Over an Existing Intramedullary Nail,” J. Orthop. Trauma, 25(11), pp. 681–684. [CrossRef]
Krieg, A. H., Lenze, U., Speth, B. M., and Hasler, C. C., 2011, “Intramedullary Leg Lengthening With a Motorized Nail,” Acta Orthop. Belg., 82(3), pp. 344–350. [CrossRef]
Lie, C. W., and Chow, W., 2009, “Limb Lengthening in Short-Stature Patients Using Monolateral and Circular External Fixators,” Hong-Kong Med. J., 15(4), pp. 280–284.
Frigg, R., Frenk, A., Haas, N., and Regazzoni, P., 2001, “LCP: The Locking Compression Plate System,” AO Int. Dialogue, 14, pp. 8–9.
Aronson, J., 1997, “Current Concepts Review: Limb-Lengthening, Skeletal Reconstruction, and Bone Transport With the Ilizarov Method,” J. Bone Joint Surg., 79(8), pp. 1243–1258.
Singh, S., Lahiri, A., and Iqbal, M., 2006, “The Results of Limb Lengthening by Callus Distraction Using an Extending Intramedullary Nail (Fitbone) in Non-Traumatic Disorders,” J. Bone Joint Surg. Br., 88(7), pp. 938–942. [CrossRef]
Younger, A. S., Mackenzie, W. G., and Morrison, J. B., 1994, “Femoral Forces During Limb Lengthening in Children,” Clin. Orthop. Relat. Res., 301, pp. 55–63.
Olney, B., and Jayaraman, G., 1994, “Joint Reaction Forces During Femoral Lengthening,” Clin. Orthop. Relat. Res., 301, pp. 64–67.
Wolfson, N., Hearn, T., Thomason, J., and Armstrong, P., 1990, “Force and Stiffness Changes During Ilizarov Leg Lengthening,” Clin. Orthop. Relat. Res., 250, pp. 58–60.
Ilizarov, G. A., 1989, “The Tension-Stress Effect on the Genesis and Growth of Tissues. Part I. The Influence of Stability of Fixation and Soft-Tissue Preservation,” Clin. Orthop. Relat. Res., 238, pp. 249–281.
Brunner, U. H., Cordey, J., Schweiberemr, L., and Perren, S. M., 1994, “Force Required for Bone Segment Transport in the Treatment of Large Bone Defects Using Medullary Nail Fixation,” Clin. Orthop. Relat. Res., 301 pp. 147–155.
Simpson, A. H. R. W., Cunningham, J. L., and Kenwright, J., 1996, “The Forces Which Develop in the Tissues During Leg Lengthening: A Clinical Study,” J. Bone Joint Surg. Br., 78(6), pp. 979–983. [CrossRef]
Williams, P., Simpson, H., Kenwright, J., and Goldspink, G., 2001, “Muscle Fibre Damage and Regeneration Resulting From Surgical Limb Distraction,” Cells Tissues Org., 169(4), pp. 395–400. [CrossRef]

Figures

Grahic Jump Location
Fig. 1

Implantable limb lengthening with force-torque sensor mounted on adult femur (left). Exploded view of the device showing motor, lead screw, and telescopic casing (center). Enhanced view to show rolling elements between cases (right).

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