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An extremely short femoral segment would have also left little osseous support for prosthesis fitting.
Bone pegs prepared from the resected femoral segment were seated in the medullary canal around the stem for femoral fixation.
b Draw the anatomical axis line of the upper femoral segment (yellow line) by drawing the mid-diaphyseal line.
The author identified a method to determine the trajectory of the nail in the lower femoral segment.
Descriptive variables included age, sex, indication for external fixation treatment, femoral segment affected and the type of external fixation.
Draw the anatomical axis line of the upper (shaft) femoral segment (yellow line) by drawing the mid-diaphyseal line.
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Pin insertion in the middle and distal femoral segments is done after adequate soft tissue releases with the knee flexed at 90°.
In order to maintain control of the femoral segments as the lengthening proceeds, it is recommended that the clamps are situated about 3 cm apart.
The rail is then reapplied (with the definitive clamps replacing the templates) and the position of the clamps adjusted to ensure correct alignment and contact of the two femoral segments at the osteotomy site.
Short metaphyseal proximal tibial or distal femoral segments are difficult to control and malalignment can be difficult to avoid, even with the use of nails with multidirectional locking screws [5, 15].
In order to maintain control of the femoral segments as the lengthening proceeds, it is recommended that the clamps are situated about 3 cm apart (b) The two pins that straddle the proposed osteotomy site should be less than 3 cm apart.
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