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Case Reports
. 2023 Sep 13:94:466-470.
doi: 10.2340/17453674.2023.18493.

Plate-assisted bone-segment transport in the femur with 2 internal lengthening nails: a technical note and a case report

Ulrik Kähler Olesen  1 , John E Herzenberg  2 , Klaus Hindsø  3 , Upender Martin Singh  3 , Michael Mørk Petersen  3
Affiliations
Case Reports

Plate-assisted bone-segment transport in the femur with 2 internal lengthening nails: a technical note and a case report

Ulrik Kähler Olesen et al. Acta Orthop. .

Abstract

A novel technique to resolve large bone defects, using 2 internal lengthening nails (ILNs), one antegrade and one retro-grade, aligned in a custom-made tube is presented. A 28-year-old, healthy, asymptomatic male presented with a slowly growing mass in the left femur.

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Figures

Figure 1
Figure 1
Long-leg standing radiographs, demonstrating mild valgus and anisomelia due to tumor-induced overgrowth.
Figure 2
Figure 2
3-D printed model for testing the setup.
Figure 3
Figure 3
A–G. Step-by-step illustration of the procedure (©2023 Sinai Hospital of Baltimore).
Figure 4
Figure 4
Rewinding procedure (procedure # 3).
Figure 5
Figure 5
Long standing radiographs after exchange nailing. There is mild residual shortening and varus of the distal femur.
See this image and copyright information in PMC

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