Right Femoral Lengthening: A Case Report

Abstract : We present the case report of a 34-year-old female patient with a history of epilepsy, presenting with a 10-cm congenital shortening and varus deformity of the right femur, in addition to a 1-cm tibial shortening resulting from a previous open fracture during adolescence. Surgical correction was performed using diaphyseal osteotomy and bone lengthening with a monoplanar external fixator (Orthofix). Following a 6-day latency period, progressive distraction was initiated at a rate of 0.75 mm/day. A total femoral lengthening of 9 cm and axis correction were achieved over 4 months. The consolidation phase lasted 9 months. Complications included superficial pin-tract infection and knee stiffness, both successfully managed with medical treatment and physical therapy. The fixator was removed after 14 months of evolution. Upon discharge, the patient achieved stable functional recovery without significant claudication.