Close
  Indian J Med Microbiol
 

Figure 2: The preoperative front (a) and lateral (b) view of the right tibia of a 21-year-old male patient with a severe valgus deformity. He was diagnosed with osteogenesis imperfecta in childhood, and had sustained multiple fractures. When he presented to us, he was unable to walk because both femora and tibia had severe deformities. (c) The anatomical axes were drawn. The angle between the most proximal and distal fragments was 105°, requiring three osteotomies. (d) There was also a 102° deformity in the lateral projection. (e) A front view of the leg shows Ortho-SUV Frame (OSF) and the set of three springs at each interval between the rings. (f) An AP radiograph obtained 11 weeks after surgery shows good alignment of the most proximal and distal fragments, and good bony contact of each osteotomy site. An anterior (g) and lateral (h) radiographs obtained after removal of the frame shows bone union. (i) Ipsilateral femoral correction with two osteotomies using OSF was started after correction in the lower leg. (j) During the consolidation period in the femur, the patient could walk using crutches. (k) A bipedal long AP radiograph shows no mechanical axis deviation on the treated side. Further correction would be performed on the left side

Figure 2: The preoperative front (a) and lateral (b) view of the right tibia of a 21-year-old male patient with a severe valgus deformity. He was diagnosed with osteogenesis imperfecta in childhood, and had sustained multiple fractures. When he presented to us, he was unable to walk because both femora and tibia had severe deformities. (c) The anatomical axes were drawn. The angle between the most proximal and distal fragments was 105°, requiring three osteotomies. (d) There was also a 102° deformity in the lateral projection. (e) A front view of the leg shows Ortho-SUV Frame (OSF) and the set of three springs at each interval between the rings. (f) An AP radiograph obtained 11 weeks after surgery shows good alignment of the most proximal and distal fragments, and good bony contact of each osteotomy site. An anterior (g) and lateral (h) radiographs obtained after removal of the frame shows bone union. (i) Ipsilateral femoral correction with two osteotomies using OSF was started after correction in the lower leg. (j) During the consolidation period in the femur, the patient could walk using crutches. (k) A bipedal long AP radiograph shows no mechanical axis deviation on the treated side. Further correction would be performed on the left side