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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
Congenital Pseudoarthrosis of Tibia
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
2 Year Old Child
Fibula grafted at 1 and half years of age !Came to us when he was 2 years.
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2009-07-02
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 3
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 4
•Excision of pseudoarthrosis site, docking, TENS fixation, ilizarov frame application done
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 5
Excised hamartomatous tissue
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 6
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
6 weeks
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
14 weeks
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
5.5 Months
!
After frame removal, TENS removal, exchange with new TENS, slab
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 10
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 11
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
•1 Year after docking, ilizarov !
•developmental valgus
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 13
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
2011-04-13
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Planned to correct the valgus and exchange the TENs
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 15
2011-05-03
fracture noted on day of admission for surgery no obvious cause
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
1.5 Years
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
Deformity correction (osteotomy), !
fixation with longer TENS.
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
6 weeks
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
5 months
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
7 months
• Displacing • Infected, loosened • Nail backing out at
heel
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 21
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
Debridement, TENS removal, AB spacer, Cast
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 23
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
7 weeks
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 25
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
Above knee cast in extension, weight bearing as tolerated
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
5 months
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 28
9 months
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
1 Year, 3 Months after spacer
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 30
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
Decision taken to remove spacer
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
Removal of spacer, jamming bone ends, fibula fixation
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2013-05-08
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 33
Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
6 weeks
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
10 weeks
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
• He wore out the heel
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in
6 months
• we may be getting lucky after all
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Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 38
2014-10-14