6.1
Large proximal or distal defect, with or without loss of length.
(a) Large distal defect in the femur; LRS Fixator (D200 series) in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally, if indicated.
Use of HA-coated screws is recommended.
6.1
Large proximal or distal defect, with or without loss of length.
(a) Large distal defect in the femur; LRS Fixator (D200 series) in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally, if indicated.
Use of HA-coated screws is recommended.
6.2
Large central bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Proximal and distal metaphyseal osteotomies performed.
(c) Simultaneous proximal and distal transport until segments meet.
Use of HA-coated screws is recommended.
6.2
Large central bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Proximal and distal metaphyseal osteotomies performed.
(c) Simultaneous proximal and distal transport until segments meet.
Use of HA-coated screws is recommended.
6.3
Large peripheral bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Two osteotomies performed in the longer bone segment.
(c) Simultaneous proximal transport with both middle clamps moved proximally until gap closed.
Use of HA-coated screws is recommended.
6.3
Large peripheral bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Two osteotomies performed in the longer bone segment.
(c) Simultaneous proximal transport with both middle clamps moved proximally until gap closed.
Use of HA-coated screws is recommended.
6.1
Large proximal or distal defect, with or without loss of length.
(a) Large distal defect in the femur; LRS Fixator (D200 series) in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally, if indicated.
Use of HA-coated screws is recommended.
6.1
Large proximal or distal defect, with or without loss of length.
(a) Large distal defect in the femur; LRS Fixator (D200 series) in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally, if indicated.
Use of HA-coated screws is recommended.
6.2
Large central bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Proximal and distal metaphyseal osteotomies performed.
(c) Simultaneous proximal and distal transport until segments meet.
Use of HA-coated screws is recommended.
6.2
Large central bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Proximal and distal metaphyseal osteotomies performed.
(c) Simultaneous proximal and distal transport until segments meet.
Use of HA-coated screws is recommended.
6.3
Large peripheral bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Two osteotomies performed in the longer bone segment.
(c) Simultaneous proximal transport with both middle clamps moved proximally until gap closed.
Use of HA-coated screws is recommended.
6.3
Large peripheral bony defect.
(a) LRS Fixator (D200 series) in place.
(b) Two osteotomies performed in the longer bone segment.
(c) Simultaneous proximal transport with both middle clamps moved proximally until gap closed.
Use of HA-coated screws is recommended.

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