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Patient Case History: Kim

Tibial Lengthening with the LATN Technique

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Kim had a congenital left leg shortening of one inch leading to knee and back pain. Notice her standing on her left toes.

Thumbnail of Kim, Pre-op image, Congenital left leg shortening on inch, Limb Lengthening
Thumbnail of Kim, Pre-op image, Congenital left leg shortening on inch, Limb Lengthening

Post-Op

We lengthened her tibia with a lengthening and then nailing (LATN) technique. A TSF external fixator was used for gradual lengthening over one month.

Thumbnail of Kim, Post-op image, lengthen tibia, LATN technique, TSF External fixator, Limb Lengthening
thumbnail of Kim, Post-op image, lengthen tibia, LATN technique, TSF External fixator, Limb Lengthening
thumbnail of an x-ray of Kim's leg, Post-op image, lengthen tibia, LATN technique, TSF External fixator, Limb Lengthening

Post-Op

After the lengthening phase had ended, a tibial nail was inserted and the frame was removed. With the LATN she wore the external fixator for just one month.

thumbnail of an x-ray of Kim's leg, Post-op image, lengthen tibia, LATN technique, TSF External fixator, Limb Lengthening
thumbnail of an x-ray of Kim's leg, Post-op image, lengthen tibia, LATN technique, TSF External fixator, Limb Lengthening

Follow-Up

Her leg lengths are equal and her back and knee pain have improved. Notice Kim's beautiful needlepoint.

Thumbnail of an x-ray of Kim, follow up image, lengthened leg, knee and back pain have improved, Limb Lengthening
thumbnail of an x-ray of Kim's leg, follow up image, lengthened leg, knee and back pain have improved, Limb Lengthening
thumbnail of Kim, follow up image, lengthened leg, knee and back pain have improved, Limb Lengthening
Thumbnail of Kim, follow up image, lengthened leg, knee and back pain have improved, Limb Lengthening
Thumbnail of a needle point by Kim, external fixation, Limb Lengthening

 

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