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Patient Case History: Herbert

Internal Lengthening Nail (ISKD device)

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Herbert sustained a femur fracture many years back. This healed in a poor position with deformity and shortening. He had back pain, 4 cm of shortening, and hyperextension of his knee.

Herbert, Pre-op thumbnail Image, Limb Lengthening, Internal Lengthening Nail, femur fracture, hyperextension
Herbert, Pre-op thumbnail Image, Limb Lengthening, Internal Lengthening Nail, femur fracture, hyperextension
Herbert, Pre-op thumbnail of an x-ray, Limb Lengthening, Internal Lengthening Nail, femur fracture, hyperextension
Herbert, Pre-op thumbnail of an x-ray, Limb Lengthening, Internal Lengthening Nail, femur fracture, hyperextension
Herbert, Pre-op thumbnail of an x-ray, Limb Lengthening, Internal Lengthening Nail, femur fracture, hyperextension

Post-Op

An osteotomy of the femur was done to straighten the femur and the ISKD rod was implanted. Gradual lengthening followed without the need for external fixation. After 5 weeks, full lengthening was achieved.

Herbert, Post-op thumbnail of an x-ray, Limb Lengthening, Internal Lengthening Nail, femur fracture, osteotomy, ISKD rod
Herbert, Post-op thumbnail of an x-ray, Limb Lengthening, Internal Lengthening Nail, femur fracture, osteotomy, ISKD rod

Follow-Up

Final result shows equal leg lengths, no deformity, and full hip and knee mobility.

Herbert, Follow up thumbnail of an x-ray, Limb Lengthening, Internal Lengthening Nail, ISKD rod, full knee and hip mobility
Herbert, Follow up thumbnail of an x-ray, Limb Lengthening, Internal Lengthening Nail, ISKD rod, full knee and hip mobility
Herbert, Follow up thumbnail image, Limb Lengthening, Internal Lengthening Nail, ISKD rod, full knee and hip mobility
Herbert, Follow up thumbnail image, Limb Lengthening, Internal Lengthening Nail, ISKD rod, full knee and hip mobility
Herbert, Follow up thumbnail image, Limb Lengthening, Internal Lengthening Nail, ISKD rod, full knee and hip mobility


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