I reviewed Ms F in clinic. It is approximately 1 month since we remove the Taylor Spatial frame from her right tibia and foot following bone transport to correct distal tibial deformity and form a tibiotalar fusion.So there you go. The new cast is ok, it's nice being able to take the thing off to sleep and shower. My sewing projects are coming along and that's about it really. Woo.
wounds have all healed beautifully with no evidence of infection. Unsurprisingly rotation of her mid foot does cause some discomfort due to the immobilisation following the frame. The regenerate feels solid as does the ankle fusion.
The radiographs show on the AP view that the regenerate is beautifully formed medially and laterally. On the lateral view there is a little defect anteriorly buy overall the alignment is excellent. The fusion appears solid distally.
Plan - For a sarmiento removal [sic] gaiter splint. To mobilise weight bearing as comfort allows. To be seen again in approximately 8 weeks time with new x-rays on arrival.
With kind regards
Mr Peter Calder
Consultant Orthopaedic Surgeon