Limb length discrepancy

Leg length discrepancy (LLD) can result from congenital limb developmental abnormalities such as congenital short femur, fibular hemimelia, local epiphyseal dysplasia, among others. It can also be a consequence of posttraumatic conditions like malunions, posttraumatic growth zone arrest, or infections. The gold standard for correcting LLD is the Ilizarov technique. Our primary approach involves lengthening the shorter segment rather than shortening the healthy one. An exception could be considered for a patient who is excessively tall and desires to be shorter. In cases involving adults or when growth zones are arrested, a combination of a frame and nails may be employed.