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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 on theme: "Lengthening in Congenital Femoral Deficiency by Sheena R. Black, Michael S. Kwon, Alexander M. Cherkashin, Mikhail L. Samchukov, John G. Birch, and Chan-Hee."— Presentation transcript:

1 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):1432-1440 September 2, 2015 ©2015 by The Journal of Bone and Joint Surgery, Inc.

2 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;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

3 Anteroposterior radiograph of the femur made at the end of surgery. Sheena R. Black et al. J Bone Joint Surg Am 2015;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

4 Lateral radiograph of the femur made at the end of surgery. Sheena R. Black et al. J Bone Joint Surg Am 2015;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

5 Anteroposterior radiograph of the patient made six months after surgery. Sheena R. Black et al. J Bone Joint Surg Am 2015;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

6 Anteroposterior radiograph of the left femur demonstrating substantial varus deformity. Sheena R. Black et al. J Bone Joint Surg Am 2015;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

7 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;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

8 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;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

9 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;97:1432- 1440 ©2015 by The Journal of Bone and Joint Surgery, Inc.

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