case no.42-tibia lengthening using fitbone
DESCRIPTION
Case no.42-tibia lengthening using Fitbone. Post bilateral release of the knees and osteotomies 1991 Post R ETA and calcaneal Osteotomy 3/94. M.K. DOB: 09.04.87 Amyoplasia Type 1 Diabetes. LLD of 3.5cm R 1.7 cm Femur 1.8 cm Tibia Back pain. Case V : Immediately Post-operative. - PowerPoint PPT PresentationTRANSCRIPT
Case no.42-tibia lengthening using Fitbone
M.K. DOB: 09.04.87
Amyoplasia
Type 1 Diabetes
Post bilateral release of the knees and osteotomies1991Post R ETA and calcaneal Osteotomy 3/94
LLD of 3.5cm R1.7 cm Femur1.8 cm TibiaBack pain
Case V : Immediately Post-operative
20/7 Postoperative
• 19 mm distraction
• No pain• Regained
preoperative ROM• in knee and ankle
30/7 post distraction
Lengthening of 29mm – pelvis equal
Patient feels comfortableFull ROM (same as pre-operatively)
Note proximal migration of distal fibula
Ceased lengthening.Now Consolidation Phase with PWB
4 Months Postoperative
No pain, asymptomatic
Consolidation of 3 cortices- anterior no callus formation
FWB now
No restrictions
6 Months Postoperative
Callus formation anteriorly
24 Months Postoperative