Patient Case History: Madeline

Correction of Valgus Deformity with Knee Replacement, Tibial Osteotomy, and Ankle Fusion

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Madeline had pain and difficulty walking. A tibial deformity from an old fracture led to disabling arthritis of knee and ankle. This further worsened the deformity.

Madeline, Pre op thumbnail Image, Limb Lengthening, Correction of Valgus Deformity with Knee Replacement, Tibial Osteotomy, Ankle Fusion
Madeline, Pre op thumbnail Image, Limb Lengthening, Correction of Valgus Deformity with Knee Replacement, Tibial Osteotomy, Ankle Fusion
Madeline, Pre op thumbnail Image, Limb Lengthening, Correction of Valgus Deformity with Knee Replacement, Tibial Osteotomy, Ankle Fusion
Madeline, Pre op thumbnail of an X-ray, Limb Lengthening, Correction of Valgus Deformity with Knee Replacement, Tibial Osteotomy, Ankle Fusion
Madeline, Pre op thumbnail of an x-ray, Limb Lengthening, Correction of Valgus Deformity with Knee Replacement, Tibial Osteotomy, Ankle Fusion

Post-Op

A two stage surgical approach was used. First, an ankle fusion and correction of the tibial malunion was done with an Ilizarov Taylor Spatial Frame. Second, a total knee replacement was done.

Madeline, Post op thumbnail of an X-ray, Limb Lengthening, ankle fusion, tibial malunion
Madeline, Post op thumbnail of an X-ray, Limb Lengthening, ankle fusion, tibial malunion
Madeline, Post op thumbnail of an X-ray, Limb Lengthening, total knee replacement
Madeline, Post op thumbnail of an X-ray, Limb Lengthening, total knee replacement

Follow-Up

By correcting the deformity in 3 places, the leg is straightened, lengthened, and pain is successfully treated. Her gait is much better.

Madeline, Follow up thumbnail Image, Limb Lengthening, deformity correction, gait correction
Madeline, Follow up thumbnail of x-ray, Limb Lengthening, deformity correction, gait correction
Madeline, Follow up thumbnail Image, Limb Lengthening, deformity correction, gait correction
Madeline, Follow up thumbnail Image, Limb Lengthening, deformity correction, gait correction


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