All-Internal Limb Lengthening with Simultaneous Corrective Osteotomy After Internal Hemipelvectomy: A Case Report. Issue 2 (12th April 2022)

• Record Type: Journal Article
• Authors: Femino, Joseph D.; Nelson, Scott C.; Agulnik, Mark; Zuckerman, Lee M.
• Is Part Of: JBJS case connector. Volume 12:Issue 2(2022)
• Publication Date: 2022-04-12
• Subjects: young adult -- female -- limb length discrepancy -- LLD -- shoe lift -- custom shoe -- magnetic limb lengthening nail -- Precice nail -- external remote controller -- sarcoma -- chondrosarcoma -- pregnancy -- pseudoarthrosis -- trendelenburg gait -- pelvic tilt -- scoliosis -- pain -- adduction -- ischiofemoral fusion -- arthrodesis -- Type II internal hemipelvectomy -- limb-salvage -- surgery -- all-internal limb lengthening -- regenerate -- distraction osteogenesis -- corrective osteotomy -- hardware removal; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.22.00069
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 27-year-old woman with a Grade II chondrosarcoma in the right acetabulum underwent a Type II internal hemipelvectomy with an ischiofemoral fusion. She developed a 7.0-cm functional limb-length discrepancy with adduction of the hip at rest. Four years after surgery, she underwent a corrective osteotomy and limb lengthening with a magnetic lengthening nail. Eleven years after tumor resection and a successful pregnancy, she had symmetric leg lengths and ambulated without an assistive device. Conclusions: A magnetic lengthening nail is a viable option for correcting limb-length discrepancies after hemipelvectomy. If necessary, a simultaneous corrective proximal femoral osteotomy can be performed.