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Patient Case History: Lansana

Limb Salvage of a Massive Tibial Bone Defect in a Child

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Lansana at the age of 6 was bit by a snake while escaping death during an attack on his village in Sierra Leone, Africa. This led to infection and massive bone loss of his tibia and entire ankle joint.

Lansana, Pre-Op thumbnail Image, Limb Lengthening, Limb Salvage, tibial bone defect
Lansana, Pre-Op thumbnail Image, Limb Lengthening, Limb Salvage, tibial bone defect
Lansana, Pre-Op x-ray, Limb Lengthening, Limb Salvage, tibial bone defect

Post-Op

He was brought to the US by an oral surgeon who was visiting the area to do volunteer work. He underwent treatment with the Ilizarov method for gradual correction of the deformity, bone transport and ankle fusion to fill in the defect, and additional bone lengthening. In total, 23 cm of lengthening was done in stages.

Lansana, Post-Op thumbnail of an x-ray, Limb Lengthening, ilizarov method, gradual correction, bone transport, ankle fusion
Lansana, Post-Op thumbnail image, Limb Lengthening, ilizarov method, gradual correction, bone transport, ankle fusion
Lansana, Post-Op thumbnail image, Limb Lengthening, ilizarov method, gradual correction, bone transport, ankle fusion
Lansana, Post-Op thumbnail of an x-ray, Limb Lengthening, ilizarov method, gradual correction, bone transport, ankle fusion

Follow-Up

He is doing well with a stable ankle and ability to run and more. He has been adopted by the oral surgeon and his family.

Lansana, Post-Op thumbnail of an x-ray, Limb Lengthening, ankle stable, ability to run now
Lansana, Post-Op thumbnail image, Limb Lengthening, ankle stable, ability to run now
Lansana, Post-Op thumbnail x-ray, Limb Lengthening, ankle stable, ability to run now
Lansana, Post-Op thumbnail image, Limb Lengthening, ankle stable, ability to run now
Lansana, Post-Op thumbnail image, Limb Lengthening, ankle stable, ability to run now
Lansana, Post-Op thumbnail image, Limb Lengthening, ankle stable, ability to run now

 

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