The CT scan revealed additional callus formation, but full union has yet to be achieved. Struts were replaced with threaded bars and hinges to improve stability and correct valgus deformity. Weight-bearing will continue as tolerated, with a follow-up scheduled in one week.
Significant progress as the proximal fragment reaches the docking point. A minor deformity correction is planned, with continued distraction at a reduced rate to minimise stress on the ankle.
As the most crucial phase of treatment progresses, expected complications arise, including a broken screw and Achilles tendon tightening. Adjustments to distraction speed and physiotherapy aim to maintain progress and ensure optimal healing.
Fracture compression and tibial lengthening progress as planned, with good bone regenerate formation. The next follow-up will assess docking progress and alignment.
Progress continues in this complex limb reconstruction case using the Ilizarov apparatus. The tibial corticotomy has been completed, and bone lengthening is underway with visible regenerate formation. The proximal fracture has been disimpacted, aligned, and prepared for docking into the medullary canal. While weight-bearing remains painful, all pin sites are stable, and the next phase of treatment is set to begin.
A complex lower leg injury with severe bone and soft tissue defects required extensive reconstruction, including the Masquelet technique, bone grafting, and external fixation. Despite initial progress, infection necessitated surgical debridement and the use of a circular frame for limb salvage. The next phase involves distraction osteogenesis to restore limb length and stability.
