Idea is to use TSF on the femur but leave the thigh outside the frame, attach the frame to half pins in the femur and than use it as a standard frame for deformity correction purposes. There are certain limitations:
Because of the chronic osteomyelitis decision was made not to internally fix the pathological fracture but continue with external fixation. Existing external fixation did not offer enough stability neither an option to fine tune the reduction outside the theatre hence we were looking for different options. "Eccentric" TSF was discussed and agreed prior to the application between consultant colleagues and the patient.
16 May 2018
22 May 2018
01 June 2018
14 July 2018
26 October 2018
24 January 2019
CT scan confirmed union. Probably not strong enough to warrant removal of the frame. Plan is to exchange the frame for mono lateral ex-fix. Knee is stiff.
Mr Matija Krkovic, MD, PhD
I am Consultant Orthopaedic Trauma Surgeon with special interest in Limb reconstructions and bone infections.