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The remaining bone is gently cut and an intramedullary distraction nail is implanted so that new bone tissue can form and the soft tissues are stretched.",[],[],{"_uid":352,"text":353,"component":317,"text_style":354,"component_style":355},"9b0703b8-d07c-4a0a-b37a-0d260f5f7039","## An intramedullary distraction nail can also lengthen a residual limb after amputation",[],[],{"_uid":357,"text":358,"component":317,"text_style":359,"component_style":360},"f6e1eb84-bc62-4351-80e1-9053dce14bbb","The lengthening of both the bone and the surrounding soft tissues with an intramedullary distraction nail is done in the same way as the lengthening of a leg. An extremely short initial length of the residual limb can be limiting, so that special designs of the intramedullary distraction nail may have to be used. 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