A case of 8-cm femoral shortening secondary to malunion of a multifragmented diaphyseal femoral fracture in a 40-years-old man is presented. Based on the age of the patients and the magnitude of the leg length discrepancy, treatment consisted of a first stage correction through progressive 4-cm lengthening of the shortened femur. In a second stage, shortening of the contralateral femur was performed by removal of a 4-cm diaphyseal bone cylinder that was implanted in the distraction area of the lengthened femur. The length discrepancy was corrected without complication. Although this technique implies a decrease of height, the method is suitable for selected cases of leg inequality affecting adults.

A case of 8-cm femoral shortening secondary to malunion of a multifragmented diaphyseal femoral fracture in a 40-years-old man is presented. Based on the age of the patients and the magnitude of the leg length discrepancy, treatment consisted of a first stage correction through progressive 4-cm lengthening of the shortened femur. In a second stage, shortening of the contralateral femur was performed by removal of a 4-cm diaphyseal bone cylinder that was implanted in the distraction area of the lengthened femur. The length discrepancy was corrected without complication. Although this technique implies a decrease of height, the method is suitable for selected cases of leg inequality affecting adults.