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Patient Case History: Philip

Lengthening and then Nailing (LATN) of a Femur Malunion

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Philip had a deformity (20 degrees varus, external rotation) and shortening (3.2 cm) of his femur. His problems included feeling off balance and back pain.

Philip, Pre-op thumbnail of an X-ray, Limb Lengthening, Femur Malunion, deformity, external rotation, back pain
Philip, Pre-op thumbnail of an X-ray, Limb Lengthening, Femur Malunion, deformity, external rotation, back pain

Post-Op

Acute correction of his deformity was accomplished percutaneously and then gradual lengthening was done with a monolateral frame. After three weeks an intramedullary rod was inserted and the frame was removed. 

Philip, Post-op Image, Limb Lengthening, acute correction, percutaneously, monolateral frame, intrameduallary rod
Philip, Post-op thumbnail of an x-ray, Limb Lengthening, acute correction, percutaneously, monolateral frame, intrameduallary rod

Follow-Up

Complete deformity correction, leg length equalization, and rapid bony healing were accomplished. Now, Philip has no deformity and is symmetrical.

Philip, Follow up thumbnail of an x-ray, Limb Lengthening, deformity corrected, leg lengthened
Philip, Follow up thumbnail of an x-ray, Limb Lengthening, deformity corrected, leg lengthened
Philip, Follow up thumbnail of an x-ray, Limb Lengthening, deformity corrected, leg lengthened
Philip, Follow up thumbnail Image, Limb Lengthening, deformity corrected, leg lengthened
Philip, Follow up thumbnail Image, Limb Lengthening, deformity corrected, leg lengthened

Follow-Up

The rod was subsequently removed.

Philip, Follow up thumbnail Image, Limb Lengthening, deformity corrected, leg lengthened
Philip, Follow up thumbnail Image, Limb Lengthening, deformity corrected, leg lengthened
Philip, Follow up thumbnail Image, Limb Lengthening, deformity corrected, leg lengthened
Philip, Follow up thumbnail of an x-ray, Limb Lengthening, deformity corrected, leg lengthened

 

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