Do you need orthopedic care, but can’t come into the office? Call to schedule a VIRTUAL DOCTOR VISIT from the safety and comfort of your own home! Click here for more information.


Congenital Femoral Deficiency Maryland Dr. Herzenberg

Nicolai playing basketball on a court in a gym with other children Nicolai has congenital femoral deficiency, but as you’ll see in this video, he hasn’t let that stop him from being active and enjoying life! When he was younger, he had shoe lifts and then underwent a lengthening with an external fixator to correct his limb length discrepancy. By the age of 9, his natural growth had left him with a four-inch difference between his two legs that needed to be addressed. Nicolai became one of the first patients in the world to undergo internal lengthening surgery with the Precice Plate*. Over the next few months, from the comfort of home, he used a remote control that magnetically coupled with the Precice Plate to very gradually distract and stretch his newly forming bone. As you will see in the video above, he can’t wait until he can “run and run, and run, and run, and run, and run, and run!”

*Please note: The Precice Plate has been voluntarily recalled. For more details, please click here.

  • Nicolai wearing a shoe lift to help compensate for his limb length discrepancy before surgery
  • Nicolai wearing an external fixator on his leg while going down a sliding board
  • Nicolai wearing an external fixator on his leg on a trampoline
  • Nicolai with a bunny smiling in a wheelchair
  • Nicolai and his dog wearing party hats
  • Nicolai showing a fish he caught at the beach
  • Nicolai on a hospital bed surrounded by his parents and Dr. McClure showing him how to use the Precice External Remote Control to lengthen his leg
  • Nicolai and his mom holding the Precice Plate with Dr. Herzenberg before surgery