1. ISKD Nail S. Robert Rozbruch, MD Director, Institute for Limb Lengthening & Reconstruction www.LimbLengthening.com

2. ISKD Fully implantable limb lengthening nail Intramedullary skeletal kinetic distractor

3. Straight nail magnet

4. ISKD Manufactured by Orthofix Achieves gradual internal lengthening Can lengthen femur or tibia

5. Rotation Small rotational movements by the patient cause the telescopic nail to lengthen Avoids any need for an external appartus –Less chance of infection –More comfortable

6. Ilizarov Method Lengthening is according to the concept of the Ilizarov method Gradual lengthening of callus or new bone

7. Patient control Patient can monitor lengthening Monitor is held up against skin

8. Monitor allows patient to follow progress of distraction

9. inventory

10. ISKD: internal lengthening nail 4 cm shortening plus deformity 4 cm

11. 5 weeks 2 months

12. 4 months, fully healed, no deformity or leg length discrepancy

13. New bone formation around intramedullary rod

14. 6 months

16. 12 months

17. Thank You