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CASE REPORT

UCSF Benioff Children’s Hospital

Institute for Global Orthopaedics and Traumatology

Post-Traumatic Limb Deformities in Children and Young Adults: A Global Perspective 2025

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(P: 214634) Now that the patient presents at age 14 with a procurvatum deformity and LLD of 5.9 cm (Figure G, H, I, J K), if you choose to correct deformity + lengthen short side, would you do it in a single procedure or staged procedure?

I would not choose to correct deformity + lengthen short side

1%

3/229

Single procedure

44%

102/229

Staged - Correct deformity 1st, then length short side at later date

47%

108/229

Staged - 1st lengthen short side, then correct deformity at later date

4%

11/229

Outside my area of expertise - best if I don't vote

2%

5/229

Well,it’s a extreme discrepancy paired with deformity Probably I’d get length 1st over a nail and secondarily angular correction

I’m curious as a non limb recon surgeon: once you’ve chosen to use a frame to address the distal femoral deformity, why not continue to lengthen through that osteotomy with the frame? Is this to shorten the period in a frame for the patient or are there other technical issues?

Wow—great result correcting the deformity and achieving limb lengthening. What’s your go-to method for femoral lengthening?

Jan Szatkowski, MD, MBA perfectly done. Lengthening of the femur in this case is best achieved with antegrade nail and diaphyseal osteotomy, distraction phase 1 mm a day. Ilisarov is also an option

I’d start with a hand bone age and make most calcs based on that. But lenthening isn’t a bad idea here at all