Measured effective compression
The article proposes moving beyond subjective judgment alone by measuring compression in Newton-meters at key points during bone transport.
Advanced bone reconstruction
Distraction osteogenesis with bone transport
An alternative for restoring bone continuity, length, and alignment in complex cases of bone loss, infection, and nonunion. Dr. López Carreño’s approach integrates bone transport, objectively measured effective compression, and the minimally invasive rail plate MIRP to optimize the consolidation process.
Content based on the article "Effective Compression and a Minimally Invasive Rail Plate to Optimize Bone Transport in Distraction Osteogenesis", published in JBJS Open Access.
Healing advantages
An approach that combines biology, stability, and objective measurement
Distraction osteogenesis uses the bone’s ability to regenerate when it receives stability and gradual mechanical stimulus. Effective compression adds a measurable parameter to guide decisions during bone transport.
Docking site control
Final compression helps support consolidation where the transported segment reaches its destination, always under adequate alignment and contact conditions.
Minimally invasive rail plate
The MIRP system works as a guide and stabilizer together with monolateral external fixation, maintaining orientation during transport.
Biology-first reconstruction
The technique seeks to preserve tissues, respect bone biology, and support the regeneration process through each phase.
MIRP system in action
Seeing the procedure helps explain the mechanical advantage
This video shows how the minimally invasive rail plate system integrates with bone transport to guide the segment, maintain orientation, and support docking site control during reconstruction.
Guides the path of bone transport.
Adds stability together with monolateral external fixation.
Helps connect effective compression with final consolidation.
Demonstration video of the MIRP system and its application in bone reconstruction procedures.
Where it may help
Designed for difficult bone problems
In the study, the technique was applied in patients with pseudarthrosis, infection, and bone loss due to trauma or osteomyelitis. Evaluation must be individualized and performed by a specialist.
✓Traumatic bone loss
✓Osteomyelitis requiring resection of compromised bone
✓Infected pseudarthrosis or nonunion
✓Atrophic or hypertrophic pseudarthrosis
✓Defects in the tibia, femur, or humerus
How the process is understood
Bone transport with effective compression and MIRP
Reconstruction is organized by phases to control regenerate formation, segment transport, and final consolidation.
1
Latency and initial compression
After osteotomy, initial compression is applied and measured to begin the mechanical environment for the regenerate.
2
Distraction and transport
The bone segment is gradually moved toward the defect, with radiographic follow-up and alignment control.
3
Docking and final compression
When the segment reaches the docking site, measurable final compression is applied to support consolidation.
4
Consolidation and recovery
The goal is to restore continuity, length, alignment, and function with rehabilitation indicated for each case.
FEMECOT XXXVI
New paradigms in bone reconstruction
The conference presents the foundations and clinical applications of effective compression in bone transport, the minimally invasive rail plate system, and advanced management of nonunion.
13:40 h | Effective compression in bone transport
Optimization of the biologic call, surgical predictability, and clinical application.
14:10 h | Minimally invasive rail plate system
Concept, characteristics, advantages, and clinical cases of the MIRP system.
14:30 h | Advanced management of nonunion
Rescue strategies, biologic prioritization, and decision-making.
Information
Find out whether this approach applies to your case or clinical practice
For patients, physicians, or institutions interested in bone reconstruction, bone transport, and effective compression, the next step is a specialist evaluation or a request for academic information.
The information on this page is educational. Diagnosis, surgical indication, and rehabilitation planning must be defined during a medical consultation.
Registration and information
The conference invitation remains at the top with the registration QR code. For academic questions or specialist evaluation, use the contact email.
Email
ortoedgard@hotmail.com
Congress
FEMECOT XXXVI | October 20-24, 2026 | Expo Santa Fe Convention Center, Mexico City
Conference
Friday, October 23, 13:40 h, Room A