A recent CT scan shows promising signs of healing, with good callus formation and successful alignment of the proximal fragment. Adjustments to the TSF prescription will further refine leg positioning.
Leg alignment has been successfully corrected, improving gait stability. Early signs of callus formation at the proximal fracture site are promising, with a CT scan scheduled to confirm progress.
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.
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.
