{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:48:51Z","timestamp":1782139731721,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":172,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Congenital femoral deficiency (CFD) with primary distal involvement (Paley Type 4) is the rarest phenotype in a spectrum that affects roughly 1 in 40,000\u2013100,000 live births. Such children present early with pronounced limb length discrepancy (LLD), genu valgum, and patellofemoral maltracking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We describe a 4\u2010year\u2010old girl who exhibited an 8\u2009cm right\u2010sided LLD, severe distal femoral valgus, and hypoplasia of the lateral femoral condyle. A four\u2010ring Ilizarov frame was applied, and two corticotomies were performed in a single sitting: (1) an oblique distal osteotomy to open\u2010wedge correct valgus while permitting 1\u2009mm day distraction and (2) a midshaft transverse osteotomy lengthened at 1\u2009mm day. After 5 months, 12\u2009cm of regenerated bone restored mechanical alignment and equalized limb length. The patient achieved full, painless knee and hip motion and resumed unrestricted play 7 months after frame removal. No deep infection, neurovascular injury, knee contracture, or regenerate fracture occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The case illustrates that carefully planned, simultaneous deformity correction and lengthening can safely deliver length gains beyond those typically reported in single\u2010level procedures while obviating multiple staged surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cro\/6120792","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:04:51Z","timestamp":1782137091000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Single\u2010Stage Double\u2010Level Ilizarov Reconstruction for Distal Congenital Femoral Deficiency in Early Childhood: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8789-0343","authenticated-orcid":false,"given":"Nashat","family":"Aldzhamal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6031-8948","authenticated-orcid":false,"given":"Ahmed Hassan","family":"Kamal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8121-4003","authenticated-orcid":false,"given":"Karim","family":"Nashat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198505020-00001"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-014-3572-3"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198302000-00009"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-22-00091"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181b2f55d"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.147.1.6828712"},{"key":"e_1_2_13_7_2","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/00003086-198201000-00016","article-title":"Congenital Distal Femoral Focal Deficiency: Report of a Unique Case","volume":"162","author":"Tsou P. M.","year":"1982","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2013.09.003"},{"key":"e_1_2_13_9_2","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1007\/978-3-319-17097-8_22","volume-title":"Pediatric Lower Limb Deformities: Principles and Techniques of Management","author":"Paley D.","year":"2016"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195941070-00009"},{"key":"e_1_2_13_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199001000-00003"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679308993665"},{"key":"e_1_2_13_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4461-0"},{"key":"e_1_2_13_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198901000-00038"},{"key":"e_1_2_13_15_2","volume-title":"Limb Lengthening and Reconstruction Surgery Case Atlas","author":"Rozbruch S. R.","year":"2024"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/6120792","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cro\/6120792","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/6120792","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T14:04:53Z","timestamp":1782137093000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cro\/6120792"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cro\/6120792"],"URL":"https:\/\/doi.org\/10.1155\/cro\/6120792","archive":["Portico"],"relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-03-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6120792"}}