[Precice® motorized intramedullary nail system for limb-length discrepancy]

Alfie V, Bardach A, Klappenbach R, Rojas C, Augustovski F, García Martí S, Ciapponi A, Alcaraz A, Pichon-Riviere A.
Record ID 32018001595
Original Title: Sistema de clavo endomedular motorizado Precice® en discrepancia de longitud de miembros
Authors' recomendations: High-quality evidence comparing lower limb-lengthening using the Precice® system with other lengthening and fixation methods was not identified. Low-quality evidence from observational studies suggests that using the Precise® motorized intramedullary nail system would be as efficacious as using the monoplanar external fixator and fixator-assisted nailing in achieving the desired bone length for the treatment of limb-length discrepancy. The advantages of the Precice® system, when compared to the fixator-assisted nailing, would be a faster lengthening speed, shorter consolidation time and better motion during treatment. Those patients who used the endomedullary system would experience less pain, fewer complications and greater satisfaction regarding cosmesis and system use when compared with external fixation treatments. No clinical practice guidelines about limb-length discrepancy treatment were found, so absolute recommendations about this technology cannot be made. One United States private health sponsor covers the use of the Precice® system for bone lengthening. The remaining public and private sponsors consulted from Argentina and other selected countries, do not mention this technology. No economic studies carried out in Argentina were found on the cost-effectiveness of this technology.
Project Status: Completed
Year Published: 2021
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
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.