Correction of multiple complex lower limb deformities by intramedullary nailing.

Area of Science:

• Orthopedic Surgery
• Biomechanical Engineering

Background:

• Post-traumatic long bone deformities can severely impair mobility and quality of life.
• Complex deformities often require multi-stage surgical interventions for optimal outcomes.

Observation:

• A female patient presented with significant leg length discrepancy (6 cm) and multiple angular deformities (femoral varus, tibial valgus/varus).
• Radiographic evidence indicated osteosclerosis in both knee joints, suggesting advanced degenerative changes.

Findings:

• Three osteotomies (two open wedge, one cuneiform) were performed and stabilized with intramedullary nails.
• A two-stage surgical approach minimized operative stress, facilitating rapid recovery of weight-bearing and ambulation.
• Leg length discrepancy was significantly reduced, and osteotomy sites healed uneventfully.

Implications:

• Multi-stage osteotomy with intramedullary fixation is an effective treatment for complex post-traumatic limb deformities.
• This surgical strategy can restore function, reduce pain, and improve patient mobility.
• Careful surgical planning and staged procedures are crucial for managing severe orthopedic trauma and preventing complications.