Leg alignment continues to improve with no significant increase in pain. Pin sites remain clean, and the frame is stable. The next follow-up is scheduled in four weeks.
Leg alignment is nearing normal after correcting 7 degrees of valgus, but knee pain has increased. The plan is to continue the correction into slight varus to improve knee function while monitoring pain levels.
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.
The patient continues using crutches but manages shorter distances unaided. No changes in leg alignment, with valgus remaining at 10-14 degrees. X-rays indicate further fracture healing and mature regenerate. A discrepancy in fibula movement is noted, but no ankle instability or pain is present. A CT scan is requested for further evaluation.
The patient can now walk unaided for short distances. A minor pin site infection emerged but resolved with conservative treatment. X-rays suggest continued fracture union, though a slight valgus shift is noted. A follow-up is scheduled to assess progress and consider a CT scan for confirmation.
The patient is now walking with a stick, with knee pain remaining the primary concern. Pin sites are stable, and clinical progress toward union is promising. X-rays indicate satisfactory bone regeneration, but confirmation of proximal fracture healing is needed before frame removal.
The patient is now walking with a stick, with knee pain remaining the primary concern. Pin sites are stable, and clinical progress toward union is promising. X-rays indicate satisfactory bone regeneration, but confirmation of proximal fracture healing is needed before frame removal.
The patient continues to progress well, with no major concerns. Pin sites are clean, and inflammation markers remain stable. Despite some knee pain, the extensor mechanism is functioning. X-rays show good fracture healing, though the regenerate still requires strengthening.
The patient is now walking with one stick, with improved knee stability and no pin site issues. X-rays show excellent bone regeneration and further fracture healing. Continued physiotherapy and weight-bearing as tolerated are planned.
The final TSF prescription has been completed successfully, with improved tibial alignment. The patient is walking unaided for short distances, though ankle dorsiflexion remains a challenge. Continued physiotherapy and monitoring of a suspected low-grade infection are planned.
