Tibia lengthening using Fitbone

By: Dr Sarbjit Singh

M.K. DOB: 09.04.87

Amyoplasia

Type 1 Diabetes

•

Pre Op

Post bilateral release of the knees and osteotomies

1991.Post R ETA and calcaneal Osteotomy 3/94

Pre Op

LLD of 3.5cm R 1.7 cm Femur 1.8 cm Tibia

Back pain

Post Op

Immediately
Post-operative

20/07 Post Op

•• 19 mm distraction

•

•• No pain

•• Regained preoperative ROM

•in knee and ankle

30/07 Post Distraction

Lengthening of 29mm – pelvis equal

Patient feels comfortable

Full ROM (same as pre-operatively)

Note proximal migration of distal fibula

Ceased lengthening.

Now Consolidation Phase with PWB

4 months Post Op

•No pain, asymptomatic

•Consolidation of 3 cortices- anterior no callus formation

•FWB now

•No restrictions

6 months Post Op

Callus formation anteriorly

24 months Post Op