Case no.42-tibia lengthening using Fitbone

M.K. DOB: 09.04.87

Amyoplasia

Type 1 Diabetes

Post bilateral release of the knees and osteotomies1991Post R ETA and calcaneal Osteotomy 3/94

LLD of 3.5cm R1.7 cm Femur1.8 cm TibiaBack pain

Case V : Immediately Post-operative

20/7 Postoperative

• 19 mm distraction

• No pain• Regained

preoperative ROM• in knee and ankle

30/7 post distraction

Lengthening of 29mm – pelvis equal

Patient feels comfortableFull ROM (same as pre-operatively)

Note proximal migration of distal fibula

Ceased lengthening.Now Consolidation Phase with PWB

4 Months Postoperative

No pain, asymptomatic

Consolidation of 3 cortices- anterior no callus formation

FWB now

No restrictions

6 Months Postoperative

Callus formation anteriorly

24 Months Postoperative