The external fixator is attached to the bone through the skin. The intramedullary nail (intramedullary screws) is inserted on the femur either through a small skin incision above the hip or below the kneecap. To extend the lower leg, the intramedullary nail is also inserted below the kneecap.
With the external fixator, the thigh and lower leg bones are gently lengthened.
The surgery lasts on average between 3 to 5 hours under general anesthesia.
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