Post-Traumatic Conditions

Treatment Options

The main goal of the treatment is to improve the function of the affected limb and promote a better quality of life for the patient. The aim of surgery is to achieve a bone that is in a correct position, support bone union, and ultimately achieve a functional walking pattern, in which there are no muscle imbalances or extra pressure on some joints. ^{1, 2}

Performing an osteotomy (the surgical cutting or removal of a piece of bone to alter alignment) and applying external fixation in post-traumatic deformity allows for gradual correction and has been shown to improve functional outcomes, including cases complicated by leg length discrepancy and soft tissue compromise.^3-5 The development of motorized intramedullary (IM) lengthening nails introduced an alternative to external fixators.
However, each case is unique, there is no universal surgery that can treat a post-traumatic bone deformity. The treatment plan for each patient must consider the characteristics of the deformity and its causes, but also the individual aspects the patients (especially their treatment expectations), and the experience of the surgeon. ¹

Complications

If left untreated, a bone that has not healed correctly or refuses to heal will lead to discomfort, pain and a lack of mobility. A fracture that is infected and not healing is a serious complication that requires treatment by a specialist limb reconstruction surgeon. Modern techniques can usually achieve healing and cure of the infection; however, the treatment may be very prolonged, and necessitate long periods off work. In severe cases, amputation may be a preferred solution, especially if the patient has no insurance and is self-employed. The various possibilities should all be discussed, considering the whole person and their expectations for the future. ^{1, 4, 5}