All-Internal Limb Lengthening with Simultaneous Corrective Osteotomy After Internal Hemipelvectomy: A Case Report

JBJS Case Connect. 2022 May 12;12(2). doi: 10.2106/JBJS.CC.22.00069. eCollection 2022 Apr 1.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Lengthening*
  • Female
  • Hemipelvectomy*
  • Humans
  • Leg Length Inequality / surgery
  • Osteotomy