Leg shortening from previous tumor surgery
By: Dr Sarbjit Singh

ANG HUI YAN, CHERINE

w• 8 year old, female, Chinese
w• C/O : left leg pain x 1 month
   swelling on left thigh x 2 weeks
   on & off fever x 1 week
w• O/E : diffuse tender swelling, left thigh
   no inguinal lymphadenopathy
   lung/heart/abdomen - normal
Pre Op

X-ray (Left femur)

osteolytic lesion

(?) osteosarcoma

Post Op

Graft taken well

1cm shortening
of left femur

ROM : 0- 110’

Post Op

Walks independently. Uses shoe raise.

ROM :0-125.LLD : 7cm

Plan : Left tibia lengthening

 

 

Follow Up
Left tibia lengthening with fixator in place
Follow Up
Lengthening tibia on Xrays in progress

 

Follow Up
Lengthening proceeding

 

Follow Up
Converted to immediate exchane nail after 65mm lengthening

 

Follow Up
Consolidation regenerated

 

Follow Up
Leg length equalised but with different knee height
 

 

Follow Up
Final result with grateful patient and mother