Congenital Femoral and Tibial Shortening Internally Lengthened with an ISKD and a Precice Nail

This is a 50 year old patient with a long-standing history of congenital femoral deficiency (CFD) and fibular hemimelia. In addition, he had a femur fracture on the same side with a secondary malunion. The patient had a 6 cm leg length discrepancy. An intramedullary lengthening of his right femur and tibia was offered. The femur was lengthened with an ISKD (intramedullary skeletal kinetic distractor) (Orthofix Inc.) and the tibia with a PRECICE (Ellipse Technologies). A successful final outcome was obtained.