PMC3967267_01
Frontal plane varus deformity without sagittal plane deformity of the tibia, with leg-length discrepancy of 2.2 cm in patient with tibial non-union.
ORT-85-211-g001.jpg
PMC3967267_01_ORT-85-211-g001.jpg
F1
At this time, the tibial plate was loose, with broken screws (Figure 1). The tibia had a varus deformity of 16 degrees and was 2.2 cm shortened (Figure 1).
Immediately postoperatively, showing tibial bone gap after bone resection. The bone transport and lengthening nail is inserted in the tibia after proximal tibial osteotomy and distal fibula osteotomy.
ORT-85-211-g002.jpg
PMC3967267_01_ORT-85-211-g002.jpg
F2
In addition, a screw was inserted into a sliding hole in the middle part of the tibia, allowing bone transport of the middle tibial segment (Figure 2).
A. 1 month after surgery.. B. 13 months after surgery.
ORT-85-211-g003.jpg
PMC3967267_01_ORT-85-211-g003.jpg
F3
Bone transport was initiated 10 days postoperatively at a rate of 1 mm daily (Figure 3).