Preop:
Kim had a congenital left leg shortening of one inch leading to knee and back pain. Notice her standing on her left toes.

Postop 1:
We lengthened her tibia with a lengthening and then nailing (LATN) technique. A TSF external fixator was used for gradual lengthening over one month.

Postop 2:
After the lengthening phase had ended, a tibial nail was inserted and the frame was removed. With the LATN she wore the external fixator for just one month.