Lengthening in Congenital Femoral Deficiency by Sheena R. Black, Michael S. Kwon, Alexander M. Cherkashin, Mikhail L. Samchukov, John G. Birch, and Chan-Hee.

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Presentation transcript:

Lengthening in Congenital Femoral Deficiency by Sheena R. Black, Michael S. Kwon, Alexander M. Cherkashin, Mikhail L. Samchukov, John G. Birch, and Chan-Hee Jo J Bone Joint Surg Am Volume 97(17): September 2, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

Preoperative anteroposterior radiograph of the lower extremities made with the patient standing on a 4.5-cm block under the left foot. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the femur made at the end of surgery. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

Lateral radiograph of the femur made at the end of surgery. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the patient made six months after surgery. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the left femur demonstrating substantial varus deformity. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

At three weeks postoperatively, the motorized nail had shifted within the patulous medullary canal, with bending of the proximal locking bolt. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

Standing anteroposterior radiograph, made at the end of lengthening, demonstrates full correction of the limb-length inequality and excellent limb alignment. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.

After weight-bearing without crutches against medical advice, and then falling, the patient sustained a segmental fracture of the proximal part of the femur through the proximal locking bolt site, with telescoping of the lengthened segment. Sheena R. Black et al. J Bone Joint Surg Am 2015;97: ©2015 by The Journal of Bone and Joint Surgery, Inc.