{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:39:28Z","timestamp":1774445968564,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":83,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Background<\/jats:title>\n Intramedullary bone transport nails (BTNs) have become an increasingly common method for managing bone defects. The Precice BTN (Globus Medical, Inc.) was previously associated with mechanical failures including intramedullary disintegration during elective nail removal. These issues were reportedly resolved in the second generation BTN.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Adhering to the CARE checklist, we describe a case involving a 23\u2010year\u2010old male with a posttraumatic bone defect following a motorcycle accident. He sustained a Gustilo\u2013Anderson Type IIIB comminuted right fracture with a 5\u2009cm bone defect. The leg was initially stabilized with external fixation. After several debridements, the fracture was internally stabilized using a regular trauma nail while the soft\u2010tissue defect was covered with a free flap and split\u2010thickness skin grafting. Subsequently, the 5 cm bone defect was managed using a second\u2010generation BTN. After 8 months, the patient underwent a planned nail removal according to the manufacturer\u2032s instructions. Just as with the first\u2010generation BTN, the nail disintegrated within the medullary canal during the procedure and separated into multiple components. These internal components were cumbersomely removed using long forceps.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Mechanical failure, specifically intramedullary disintegration, still occurs with the second\u2010generation BTN upon nail removal. The retention plug of the first\u2010generation BTN should thus be used despite instructions from the manufacturer that the problem has been solved in the current generation BTN. Appropriate instruments to manage potential nail disintegration should be present. The case underlines the need for further design improvements in future generations of BTN.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/cro\/5629022","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T11:19:22Z","timestamp":1774437562000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Disintegration of the Second\u2010Generation Precice Bone Transport Nail During Removal Is Still an Issue: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2574-516X","authenticated-orcid":false,"given":"Rikke","family":"Gravesen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"W\u00e6ver","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7204-1464","authenticated-orcid":false,"given":"Juozas","family":"Petruskevicius","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7934-2983","authenticated-orcid":false,"given":"Jan Duedal","family":"R\u00f6lfing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2020.1835321"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199806000-00003"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/bot.0000000000000828"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2022.2054336"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2021.1910777"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03335-w"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2011.11.002"},{"key":"e_1_2_10_8_2","unstructured":"Precice Bone Transport Available from: April 4 2025https:\/\/www.nuvasive.com\/surgical-solutions\/nuvasive-specialized-orthopedics\/precice-bone-transport-ce\/."},{"key":"e_1_2_10_9_2","unstructured":"Precice Bone Transport-Tibia Surgical Technique Guide Available from: April 4 2024https:\/\/www.nuvasive.com\/wp-content\/uploads\/2020\/09\/PBT-ST-Tibia.pdf."},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2021.1927506"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10080-1629"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2021.102958"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.77.Bjr-2017-0359.R1"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.Cc.24.00159"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.Cc.20.00950"},{"key":"e_1_2_10_16_2","unstructured":"Nuvasive Field Safety Notice\/PRECICE Bone Transport Nail Available from: July 27 2020https:\/\/www.bfarm.de\/SharedDocs\/Kundeninfos\/EN\/01\/2020\/11652-20_kundeninfo_en.pdf?__blob=publicationFile."},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/bot.0000000000002121"},{"key":"e_1_2_10_18_2","volume-title":"Disintegration of the 2nd generation Precice bone transport nail during removal: a case report","author":"Gravesen R.","year":"2025"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/5629022","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cro\/5629022","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/5629022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T11:19:24Z","timestamp":1774437564000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cro\/5629022"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cro\/5629022"],"URL":"https:\/\/doi.org\/10.1155\/cro\/5629022","archive":["Portico"],"relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-10-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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