Post-traumatic Short Femoral Stump Lengthened with a Monolateral External Fixator

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.