Fig. 8.

Figs. 8-A through 8-D Patient 24. Figs. 8-A and 8-B Bone loss (10.5 cm) in the left humerus due to a firearm projectile. Fig. 8-C Initial compression is applied in the latency phase after placement of the MIRP, which has resulted in immediate recovery of bone length, orientation, and stability. The mechanobiological principle refers to the fact that the mechanical stability offered by MIRP does not interrupt the biological process of distraction osteogenesis. Fig. 8-D Immediate rehabilitation with the external fixator.