Reconstruction of a 22 cm Femur Bone Defect with Transport Over Nail and Cable Technique

This is a case of a 34 year old femoral bone defectFemoral bone defect from a low-grade osteosarcoma seeking limb salvage. This complex revision was completed in two main stages. The first stage consisted of double-level femur osteotomy and bone transport over an intramedullary nail with a cable systemBone transport, intramedullary nail with a cable system. Stage 2 was accomplished by tibial lengthening with an intramedullary lengthening nail to correct residual limb length discrepancy (LLD).