Abstract
This is a case of post-traumatic femoral amputation that occurred after a high-energy war injury. The resulting femoral stump was too short to be fit with a prosthesis. We describe a stump lengthening of 10 cm using distraction osteogenesis with a monolateral external fixator. A successful lengthening was obtained, and the result was a longer and more functional residual limb that could be fit with a standard prosthesis. This resulted in improved gait, lower energy consumption, and high patient satisfaction.
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References and Suggested Reading
Hosny GA, Kandel WA (2012) Distraction lengthening by callotasis of traumatically shortened bones of the hand. J Trauma Acute Care Surg 72(6):1676–1680
Horesh Z, Levy M, Stein H (1998) Lengthening of an above-knee amputation stump with the Ilizarov technique–a case report. Acta Orthop Scand 69(3):326–328
Tellisi N, Ilizarov S, Fragomen A, Rozbruch SR (2008) Lengthening and reconstruction of congenital leg deficiencies for enhanced prosthetic wear. Clin Orthop Relat Res 466:495–499
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© 2015 Springer International Publishing Switzerland
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Wagner, P., Hunter, R., Herzenberg, J.E. (2015). Case 60: Post-traumatic Short Femoral Stump Lengthened with a Monolateral External Fixator. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_316
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DOI: https://doi.org/10.1007/978-3-319-18020-5_316
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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