Leg shortening due to disease
Clinical Condition
A 17-year-old female patient with poliomyelitis (poliomyelitis of children) developed complications during treatment with a ring fixator while abroad. The first presentation at ZEM-Germany revealed a severe valgus position (knock-knee), a false joint formation (pseudoarthrosis) and an inability to fully extend the knee, so that the patient could only walk with crutches and in great pain.
Clinical view before surgery
Long Standing Radiograph (LSR) before surgery
Treatment
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OR planning (RPM)
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FITBONE distraction nail
Using the Reverse Planing Method (RPM) developed at ZEM-Germany, the initial situation was first fully analyzed and the false joint formation, multidirectional malalignment and shortening were included in the planned correction. In a single operation, the inferior bone tissue, as the cause of the false joint formation, was first removed, the deformity corrected and a FITBONE intramedullary distraction nail implanted in the left thigh. After discharge from inpatient treatment, the implant performed the required leg lengthening completely painlessly for the patient.
Result
As a result of the poliomyelitis, the soft tissues of the left leg are still somewhat weaker, but the patient can now walk without pain for the first time in her life with two straight legs of equal length.
Treatment result
Long standing radiograph after treatment
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