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Patient Case History: Colleen

Double Level Tibial Osteotomy and Joint Replacement for Correction of Deformity and Shortening

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Colleen is 45 and at age 10 was diagnosed with a bone tumor (ABC). This was treated with radiation which damaged her growth plate causing shortening. She had 4 cm of discrepancy, a stiff knee with valgus deformity, and equinovarus deformity of the foot and ankle.

Colleen, Pre-Op thumbnail Image, Limb Lengthening, bone tumor, damaged to growth plate, valgus deformity, equinovarus deformity, foot deformity
LL13-preop2-small.jpg
Colleen, Pre-Op thumbnail of an x-ray, Limb Lengthening, bone tumor, damaged to growth plate, valgus deformity, equinovarus deformity, foot deformity
Colleen, Pre-Op thumbnail of an x-ray, Limb Lengthening, bone tumor, damaged to growth plate, valgus deformity, equinovarus deformity, foot deformity
Colleen, Pre-Op thumbnail of an x-ray, Limb Lengthening, bone tumor, damaged to growth plate, valgus deformity, equinovarus deformity, foot deformity

Post-Op

The first stage of treatment involved a double level tibia osteotomy to partially correct the knee valgus and to correct the equinovarus deformity of the foot and ankle. Watch animation of procedure.

Colleen, Post-Op thumbnail image, Limb Lengthening, double level osteotomy, knee valgus, equinovarus deformity of foot and ankle
Colleen, Post-Op thumbnail image, Limb Lengthening, double level osteotomy, knee valgus, equinovarus deformity of foot and ankle
Colleen, Post-Op thumbnail image, Limb Lengthening, double level osteotomy, knee valgus, equinovarus deformity of foot and ankle
Colleen, Post-Op thumbnail of an x-ray, Limb Lengthening, double level osteotomy, knee valgus, equinovarus deformity of foot and ankle

Follow-Up

The second stage of treatment involved a distal femur and knee replacement to complete the correction of the deformity and leg length discrepancy and remove irradiated bone that was at risk for becoming cancer.

Colleen, Follow up thumbnail of an x-ray, Limb Lengthening, knee replacement, leg length discrepancy corrected, removal of irradiated bone
Colleen, Follow up thumbnail of an x-ray, Limb Lengthening, knee replacement, leg length discrepancy corrected, removal of irradiated bone
Colleen, Follow up thumbnail image, Limb Lengthening, knee replacement, leg length discrepancy corrected, removal of irradiated bone
Colleen, Follow up thumbnail image, Limb Lengthening, knee replacement, leg length discrepancy corrected, removal of irradiated bone
Colleen, Follow up thumbnail image, Limb Lengthening, knee replacement, leg length discrepancy corrected, removal of irradiated bone


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