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 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 Image, Limb Lengthening, stabilized with a TSF frame

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 of an x-ray, Limb Lengthening, equal leg lengths, healed tibia

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