LAUSR

I ntramedullary limb-lengthening has become increasingly popular as a method of long-bone distraction osteogenesis over the past 5 years. This technique allows patients to avoid the inconvenience, discomfort, and pin-site infection risk associated with bone lengthening with an external fixator.While intramedullary lengthening is not a new concept, previous devices had issues with rate control, pain management, and bone formation. Currently available implants, however, have demonstrated accuracy, dependable rate control, and reliable regenerate bone formation. In addition, patients display increased comfort, satisfaction, and range of motion during lengthening with intramedullary devices as compared with external fixators. This review article will outline technique tips and lessons learned from using current intramedullary lengthening devices.