Figure 3: Radiographic summary of patient 10 depicting the contoured plate linkage technique. (a) Immediate postoperative radiograph identifying the MILN is longer than the bone, in this case linked using a locking plate. (b) The plate (arrow) is fixed to the bone with multiple locking screws, including a rather long retrograde screw (star) which provides a long purchase distance. A screw links the plate to the nail via the distal nail hole (arrowhead). (c) Although this patient's original nail had mechanical problems requiring exchange, subsequent lengthening proceeded uneventfully (40 mm in 6 weeks). (d) He had TOFA performed after 3.7 months after MILN and has done well in the 34 months since. (e) This patient's right femur was long enough for TOFA without prior MILN