Leg shortening from previous tumor surgery
By: Dr Sarbjit Singh

ANG HUI YAN, CHERINE

w• 8 year old, female, Chinese

w• C/O : left leg pain x 1 month

swelling on left thigh x 2 weeks

on & off fever x 1 week

w• O/E : diffuse tender swelling, left thigh

no inguinal lymphadenopathy

lung/heart/abdomen - normal

Pre Op

X-ray (Left femur)

• osteolytic lesion

• (?) osteosarcoma

Post Op

Graft taken well

1cm shortening

of left femur

ROM : 0- 110’

Post Op

Walks independently. Uses shoe raise.

ROM :0-125.LLD : 7cm

Plan : Left tibia lengthening

Follow Up

Left tibia lengthening with fixator in place

Follow Up

Lengthening tibia on Xrays in progress

Follow Up

Lengthening proceeding

Follow Up

Converted to immediate exchane nail after 65mm lengthening

Follow Up

Consolidation regenerated

Follow Up

Leg length equalised but with different knee height

Follow Up

Final result with grateful patient and mother