[Precice® intramedullary nail system, with external remote controller, for limb length discrepancy]

Alfie V, Ciapponi A, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A.
Record ID 32018001565
Spanish
Original Title: Sistema de clavo endomedular motorizado Precice® en discrepancia de longitud de miembros
Authors' recommendations: Low-quality evidence from observational studies suggests that the use of the Precice® intramedullary nail system, with external remote controller, for bone lengthening might show an efficacy similar to that of the use of a monoplanar external fixator and fixator nail to achieve the desired bone length when treating limb length discrepancy. The Precice® system advantage over the fixator nail would be a faster lengthening, shorter consolidation time and better motility during treatment and at short term. Patients who used the intramedullary system would experience less pain, fewer complications and higher satisfaction in terms of cosmesis or use of the system, than with treatment with external fixators. No clinical practice guidelines on treatment of limb length discrepancy have been found. One US private funder covers the use of the Precice® system for bone lengthening. The rest of the state-owned and private funders consulted, from Argentina and other selected countries, do not mention this technology. No economic studies on the cost-effectiveness of this technology, conducted in Argentina, have been found.
Details
Project Status: Completed
Year Published: 2020
URL for published report: https://www.iecs.org.ar/home-ets/
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Argentina
MeSH Terms
  • Bone Lengthening
  • Achondroplasia
  • Internal Fixators
  • Bone Nails
  • Ilizarov Technique
  • Leg Length Inequality
Contact
Organisation Name: Institute for Clinical Effectiveness and Health Policy
Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name: info@iecs.org.ar
Contact Email: info@iecs.org.ar
Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.