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Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 139-141

Bifocal femoral lengthening with intramedullary magnetic lengthening nail following osteotomy propagation

1 Department of Orthopedics Surgery, University of Texas Health Science Center San Antonio, San Antonio, USA
2 Department of Orthopedic Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK, USA
3 Advanced Orthopaedics and Sports Medicine, Houston, Texas; Department of Orthopedic Surgery, Ain Shams University Hospital, Cairo, Egypt
4 Department of Orthopedic Surgery and Rehabilitation, Texas Tech University Health Sciences Center El Paso, Paul L Foster School of Medicine, El Paso, Texas, USA
5 Department of Orthopedic Surgery, Maimonides Medical Center, Brooklyn, New York, USA

Correspondence Address:
Dr. Ahmed M Thabet
5001 El Paso Dr, El Paso, Texas
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jllr.jllr_9_21

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Techniques in limb lengthening have evolved since the early 1900s. The external fixation using an Ilizarov frame was the current gold standard. Recently, intramedullary devices have been utilized in limb lengthening procedures to avoid complications related to the bulky external fixators. Here, we present the case of a 41-year-old female with long-term limb length discrepancy (LLD) corrected with magnetically driven intramedullary nailing. An intraoperative fracture of the distal femur led to bifocal lengthening at both the osteotomy site and the fracture site. This case cautioned the orthopedic surgeons involved in limb lengthening surgery about potential complications that can happen during the procedure. It demonstrated the possible efficacy of bifocal lengthening procedures using a magnetically driven intramedullary nail in the setting of complex LLD.

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