PMC4994195_01
Initial radiograph, depicting the dislocated positioning of the femur head and dysplastic acetabulum socket.
TOORTHJ-10-232_F1.jpg
PMC4994195_01_TOORTHJ-10-232_F1.jpg
F1
The other hip was dysplastic without dislocation (Figs. 1a and 1b) . The other hip joint was severe dysplastic. as shown in Fig. (1b).
Radiography after removal of the distraction rod with securing the distraction site with a plate.
TOORTHJ-10-232_F2b.jpg
PMC4994195_01_TOORTHJ-10-232_F2b.jpg
F2b
She walked with a heavy caliper splint to block her knee while walking, as shown in Fig. (4).
PMC4994195_02
3D CT reconstruction of the initial situation of the pelvis.
TOORTHJ-10-232_F1b.jpg
PMC4994195_02_TOORTHJ-10-232_F1b.jpg
F1b
The proximal part of the plate functioned as a glide plate which kept the distal part of the intermediated bone segment in alignment with the distal femoral part Figs. (2a-2c).
PMC4994195_03
Radiography after the two osteotomies of the femur. The distal femur plate is not attached with screws. Lenghtening rod attached to the side of the femur.
TOORTHJ-10-232_F2a.jpg
PMC4994195_03_TOORTHJ-10-232_F2a.jpg
F2
At her last follow up, two years after surgery, her knee improved which made walking possible without caliper, as shown in Fig. (3).
Radiography after valgus osteotomy of the proximal femur, positioning the lesser trochanter into the acetabular socket and increasing the abductor leverage arm.
TOORTHJ-10-232_F2c.jpg
PMC4994195_03_TOORTHJ-10-232_F2c.jpg
F2c
As in Figs. (5a-5c).