Extreme Lengthening of Tibia Using Bone Transport Technique: A Rare Case Report

Area of Science:

• Orthopedic surgery
• Pediatric osteomyelitis
• Limb reconstruction

Background:

• A 13-year-old female presented with a chronic osteomyelitis of the right leg, stemming from a fall-induced wound and discharging sinus.
• The condition necessitated surgical intervention, including distal tibia corticotomy and Ilizarov fixation for limb lengthening.

Observation:

• The patient experienced multiple complications during treatment.
• Despite the challenges, the Ilizarov frame facilitated the restoration of full limb length.

Findings:

• Proper installation of the Ilizarov frame is critical for successful treatment outcomes.
• Efficient transportation of the bone segment within the Ilizarov apparatus is essential to prevent deviation.

Implications:

• This case underscores the effectiveness of Ilizarov fixation in managing complex pediatric osteomyelitis and limb length discrepancies.
• Optimizing surgical technique, particularly frame application and segment transport, can mitigate complications and improve functional recovery in limb reconstruction.