Bifocal Corticotomy
By: Dr Sarbjit Singh
Mr. Jimmy, 19, Chinese,Male, presented with a painful deformed left Tibia
Pre
Op
▪ Left Tibia painful deformity and
  shortening
▪ Walk with a limp
▪ Sinus
Post
Op
SURGICAL TREATMENT
▪ 28/4/1999
▪ Sequestrectomy (5 cm bone block removed)
▪ Gentamicin beats
▪ Trifocal Ilizarov bone transport and compression
▪ 5 Ilizarov ring configuration
▪ IM tibia guide wire inserted
Post
Op

2 weeks

1 month
Progress
▪ Tibia united S/E
▪ Good return of knee and
  ankle function
▪ Limb alignment and
  shortening restored

8 months
Progress
Patient able to full weight bear with no shortening and residual tibia deformity