Maybe the penultimate clinic letter...

[freddiefraggles]

Pretty exciting really.

I reviewed Ms F in clinic today. It is 10 months since we removed the Ilizarov frame from her right tibia and foot following a bone transport and tibio-talar fusion.

She is now walking well with very little discomfort. She has good movement in the mid tarsal region.

X-rays today show that the bone regenerate is remodeling extremely well. Good cortices are formed posteriorly, medially and laterally. There is a minimal filling in to do anteriorly.

The fusion site is excellent.

The plan therefore is to mobilise without a brace. To be seen again in 9 months time with a further x-ray of tibia on arrival. The plan at that stage is to consider discharge.

With kind regards
Mr Peter Calder
Consultant Orthopaedic Surgeon