Multiapical Deformity Correction in Bilateral Femur and Tibia in Rickets. LATP Technique to Decrease the Time of External Fixator

Lengthening and then plating (LATP) was used to decrease the total time needed in external fixation in this patient with complex bilateral mutiaplical oblique plane deformities. A 16 year old girl with rickets was treated with multilevel osteotomies of both femurs and tibias, and deformity correction and lengthening was performed with monolateral external fixators. Plating was performed, and frames were removed before complete bone union. This allowed early removal of frames and protection against refracture.