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Patient Case History: Dino

Joint Salvage Reconstruction of Ankle with Osteotomy and Distraction

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Dino Crushed his ankle while on duty as a firefighter. Despite initial treatment elsewhere, he developed a severe deformity of the tibia above the ankle (shortening, recurvatum, and varus), and arthritis and contracture of the ankle.

Dino, Pre-op thumbnail of an x-ray Image, Limb Lengthening, tibia deformity
Dino, Pre-op thumbnail Image, Limb Lengthening, tibia deformity
Dino, Pre-op thumbnail Image, Limb Lengthening, tibia deformity
Dino, Pre-op thumbnail Image, Limb Lengthening, tibia deformity

Post-Op

An osteotomy of the tibia and fibula was performed and with a TSF, gradual correction of both the bony deformity and the ankle contracture was done simultaneously.

Dino, Post-op thumbnail Image, Limb Lengthening, tibia and fibula osteotomies with TSF
Dino, Post-op thumbnail of an x-ray Image, Limb Lengthening, tibia and fibula osteotomies with TSF
Dino, Post-op thumbnail Image, Limb Lengthening, tibia and fibula osteotomies with TSF
Dino, Post-op thumbnail of an x-ray Image, Limb Lengthening, tibia and fibula osteotomies with TSF

Post-Op

With correction of the deformity and distraction, the ankle joint was optimized.

Dino, Post-op thumbnail Image, Limb Lengthening, deformity correction and distraction
Dino, Post-op thumbnail Image, Limb Lengthening, deformity correction and distraction
Dino, Post-op thumbnail Image, Limb Lengthening, deformity correction and distraction
Dino, Post-op thumbnail of an x-ray Image, Limb Lengthening, deformity correction and distraction
Dino, Post-op thumbnail of an x-ray Image, Limb Lengthening, deformity correction and distraction

Follow-Up

This joint preservation approach allowed Dino to return to active duty as a firefighter.

Dino, Follow-up thumbnail Image, Limb Lengthening, joint preservation approach, Dino returned to firefighter duty
Dino, Follow-up thumbnail Image, Limb Lengthening, joint preservation approach, Dino returned to firefighter duty
Dino, Follow-up thumbnail Image, Limb Lengthening, joint preservation approach, Dino returned to firefighter duty