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Reconstruction of Congenital Deformity to Optimize Prosthetic Wear

Surgeon: S. Robert Rozbruch, MD
Patient: Angelo

Pre-Op

Angelo had massive shortening from a congenital deformity and has worn a prosthesis all his life. However, the valgus deformity of the right limb has made prosthetic wear difficult and has compromised his function. Notice the angular deformity (figure 3) demonstrated by the 2 orange lines.

Image: Angelo with shortening from congenital deformity
Figure 1
Image: Angelo with prosthesis
Figure 2
Image: XRay of Angelo's leg pre-surgery
Figure 3
 
 

Surgery

He underwent an osteotomy of the proximal tibia to straighten the leg.

 

Outcome

With a straight leg, prosthetic wear, function, and aesthetics have all been improved for Angelo. Notice a straight orange line in Figure 4 representing the mechanical axis of the right lower extremity.

Image: XRay of Angelo's leg post surgery
Figure 4
Image: Angelo's leg post surgery
Figure 5
 
 
 

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