Three years post-injury, all wounds and fractures have healed with no clinical signs of infection. The patient experiences knee pain with prolonged walking or cycling, and ankle discomfort due to equinus deformity. No medial/lateral ankle instability noted. Further follow-up scheduled in one year.
Knee stability has improved, and pain is subsiding. Pin sites remain in good condition, with X-rays showing continued progress toward union. A CT scan is planned in two months to confirm further healing.
The healing process continues as expected, with significant improvement in swelling and early callus formation. However, mild valgus alignment has been noted, and potential corrective action is being considered to optimise long-term function.
Distraction osteogenesis is complete, with both legs now equal in length. Encouraging signs of healing are visible on X-rays, including unexpected early callus formation at the fracture site. The focus now shifts to rehabilitation and ongoing monitoring.
Steady progress continues with further lengthening nearing the planned goal. Compression at the proximal fracture site is holding, with no signs of infection. Adjustments made to allow additional distraction.
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.
