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Patient Case History: Natalie

Limb Salvage Reconstruction of Congenital Pseudoarthrosis of the Tibia with Bone Transport

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Natalie was born with Congenital Pseudoarthrosis of the Tibia. Despite multiple surgeries, she had a short, unstable leg and an abnormal gait. X-rays showed deformity, nonunion, and shortening of the tibia above the ankle.

Natalie, Pre Op thumbnail Image, Limb Lengthening, Congenital Pseudoarthrosis of the Tibia
Natalie, Pre Op thumbnail Image, Limb Lengthening, Congenital Pseudoarthrosis of the Tibia
Natalie, Pre Op thumbnail Image, Limb Lengthening, Congenital Pseudoarthrosis of the Tibia
Natalie, Pre Op thumbnail of an x-ray , Limb Lengthening, deformity, nonunion, and shortening of the tibia above the ankle
Natalie, Pre Op thumbnail of an x-ray , Limb Lengthening, deformity, nonunion, and shortening of the tibia above the ankle
Natalie, Pre Op thumbnail of an x-ray , Limb Lengthening, deformity, nonunion, and shortening of the tibia above the ankle

Post-Op

At the initial surgery, the rod was removed and the nonunion was repaired. This was stabilized with a TSF frame. However the leg was still short. The tibia was lengthened by 2 inches at a proximal tibia osteotomy site.

Natalie, Post Op thumbnail of an x-ray , Limb Lengthening, rod was removed and the nonunion was repaired
Natalie, Post Op thumbnail Image, Limb Lengthening, stabilized with a TSF frame
Natalie, Post Op thumbnail of an x-ray, Limb Lengthening, repaired nonunion, Tibia lengthened
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Natalie, Post Op thumbnail of an x-ray, Limb Lengthening, repaired nonunion, Tibia lengthened

Follow-Up

With equal leg lengths and a healed tibia, Natalie walks much better.

Natalie, Post Op thumbnail Image, Limb Lengthening, equal leg lengths, healed tibia
Natalie, Post Op thumbnail Image, Limb Lengthening, equal leg lengths, healed tibia
Natalie, Post Op thumbnail of an x-ray, Limb Lengthening, equal leg lengths, healed tibia
Natalie, Post Op thumbnail of an x-ray, Limb Lengthening, equal leg lengths, healed tibia

 

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