Figure 2: Radiographic summary of the MILN and TOFA experience for Patient 4. (a) Immediate postoperative radiograph identifying the MILN is longer than the bone requiring a custom linkage technique, in this case multiple cerclage cables. (b) The patient gained 26 mm over 7 months, but (c) the cables then broke and the distal bone segment collapsed 30 mm. (d) A procedure to harvest left femur intramedullary autograft and place it between the bone segments which were plated to length was performed. (e) TOFA was performed 4 months later and has remained stable in the 41 months since