The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on intramedullary distraction for lower limb lengthening in December 2006. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.

The guidance was considered for reassessment in November 2010 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.


Intramedullary skeletal distraction uses nail like devices that consist of two interlocking sections fixed to the bone which move away from one another to produce kinetic force along the axis of a bone which stimulates osteogenesis.

Coding recommendations

W17.8 Other specified other reconstruction of bone

Y02.1 Implantation of prosthesis into organ NOC