Bifocal Corticotomy
By: Dr Sarbjit Singh
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Mr. Jimmy, 19, Chinese,Male, presented with a painful deformed left Tibia
Pre Op
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▪ Left Tibia painful deformity and
shortening
▪ Walk with a limp
▪ Sinus |
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Post Op
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SURGICAL TREATMENT
▪ 28/4/1999
▪ Sequestrectomy (5 cm bone block removed)
▪ Gentamicin beats
▪ Trifocal Ilizarov bone transport and compression
▪ 5 Ilizarov ring configuration
▪ IM tibia guide wire inserted |
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Progress
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▪ Tibia united S/E
▪ Good return of knee and
ankle function
▪ Limb alignment and
shortening restored |
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 8 months |
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Progress
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Patient able to full weight bear with no shortening and residual tibia deformity
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