Limb reconstruction is a collaborative effort involving orthopaedic, plastic, and vascular surgeons, as well as anaesthetists, infectious disease specialists, physiotherapists, and nursing staff. This team works together to ensure effective debridement, bone fixation, soft tissue coverage, and post-operative rehabilitation. Each specialist plays a critical role in restoring function and preventing complications in complex limb injuries.
Ankle fusion surgery can be a crucial solution for active patients recovering from severe talus fractures or dislocations. This case study highlights the surgical process, rehabilitation, and long-term recovery, including walking and cycling post-surgery.
Four weeks post-frame removal, the fractures have united, but walking remains slow with a limp. A potential collapse in the lateral tibial condyle has been observed, with signs of “neofibula” formation. Further assessment with a CT scan is planned, along with cement removal and bone grafting.
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.
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.
