Motorized Intramedullary Limb-Lengthening: Principles and Techniques – Pediatrics, Trauma and Beyond

May 6-8, 2020
The Saint Paul HotelLocation Marker

This course is designed for orthopedic surgeons, fellows, or senior residents who have interest in limb deformity and limb-lengthening surgery (LLS).  This 2.5 day course will include expert faculty leading case based presentations, facilitating lively discussions - including interactive audience polling, hands-on skills labs and video presentation of a surgery performed by the faculty.

Course Objectives

At the completion of the course, participants should be able to:

  • Select patients for which LLS is indicated
  • Plan LLS and deformity correction of simple and moderate difficulty
  • Use contemporary tools and equipment required for LLS
  • Anticipate and manage complication


Gillette Children’s Specialty Healthcare is accredited by the Minnesota Medical Association to provide continuing medical education (CME) for physicians. Gillette takes responsibility for the content, quality and scientific integrity of this activity.

Gillette designates this live educational activity for a maximum of 17 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. 

Sponsored by:

Gillette Children's Specialty Healthcare

Wednesday, May 6, 2020 - Agenda

4:30 –5:00 p.m.

  • Registration and Refreshments

5:00 – 5:10 p.m.

  • Welcome and Introductions 

5:10 - 8:30 p.m.

  • History of Limb Lengthening 
  • Biology of Distraction Osteogenesis 
  • Effects of Limb Length Discrepancy 
  • Preoperative Planning for Motorized Internal Limb Lengthening 
    • Graphical Planning and Baumgart’s Reverse Planning Method
  • Basics of Intramedullary Nailing: From Nuts to Bolts 
  • Break
  • Technique Demo 
    • Antegrade Femur: Trochanteric, Piriformis  
  • Saw Bones Lab – Antegrade Femur

8:30 p.m.

  • Adjourn – Optional Happy Hour

Thursday, May 7, 2020 – Agenda

7:30 – 8:00 a.m.

  • Continental Breakfast

8:00 a.m. - 5:15 p.m.

  • Postoperative Care of the Lengthening Patient 
  • Surgical Demonstration 
    • Tibia Measurements 
    • Venting 
    • Shanz Pins
    • Nail Entry Points 
    • Reaming 
    • Corticotomy 
    • Angular Correction 
    • Translation 
    • Rotation
    • Locking Screws 
    • Blocking Screws
  • Lab - Reverse Planning Your Case 
  • Assessing Bone Regenerate, Adjusting Your Rate 
  • Complications of Intramedullary Lengthening 
    • Motor Failure
    • ERC Failure Screw Back-Out
    • Nail Fracture 
    • Poor Regenerate
    • Premature Consolidation 
    • Delayed Consolidation
  • Participant Case Presentations - “Fireside Chat” 
  • Lunch 
  • Pediatric Patient Selection 
  • Adult Patient Selection 
  • Results of Motorized Intramedullary Lengthening 
  • Extramedullary Lengthening 
  • Residual Limb Lengthening for Prosthetic Fitting 
  • Discussion
  • Saw Bones Lab: Tibia Lengthening 
  • Case Presentations
    • When Things “Go South” 
    • Limb Lengthening and Arthroplasty 
    • Lengthening the Congenitally Short Femur 
    • Lengthening in Bone Dysplasia 
    • Lengthening in Fibular Hemimelia 
    • Physical Therapy and Lengthening - “Tale of Two Cities” 

5:30 – 9:30 p.m.

  • Optional Offsite Reception

Friday, May 8, 2020 - Course Agenda 

7:00 – 7:30 a.m.

  • Continental Breakfast 

7:30 a.m. - 2:30 p.m.

  • Breakout Cases 
  • Live Patient Presentations
  • Lunch 
  • Nonunion Management
  • Post-Traumatic Conditions
  • Bone Transport Nail

Registration Information 

The course registration fee is $350 for orthopedic surgeons, $250 for fellows and senior residents. Scholarships are available upon request for those experiencing a financial hardship. For course content and registration information, email


The Saint Paul Hotel
350 Market Street
Saint Paul, MN 55102

Special rate of $169.00 for course attendees.  Call 800-292-9292 and ask for Gillette Motorized Internal Limb-Lengthening to get the offered rate, or go online to reserve by visiting, select the arrival and departure dates and enter 200505GIL as the group/block code.


Mark Dahl, MD

Professor, Director Limb Length and Deformity Correction
Gillette Children’s Specialty Healthcare
St. Paul, Minnesota
University of Minnesota
Minneapolis, Minnesota

Andrew Georgiadis, MD

Pediatric Orthopedic Surgeon
Gillette Children’s Specialty Healthcare
St. Paul, Minnesota

Aaron Huser, DO

Pediatric Orthopedic Surgeon
Gillette Children’s Specialty Healthcare
St. Paul, Minnesota

Stewart Morrison, MBBS

Limb Length and Deformity Correction Surgeon
The Royal Children's Hospital
Melbourne, Australia