Height RX

New publication in Journal of Orthopaedics about our experience treating from

In it we are outlining our decision making tree treating 3 main areas of problems:
- Bone defects and non unions
- soft tissue problems
- infectious complications

in collaboration with

Prophylactic common peroneal neurolysis .

- prevents traction neurapraxia in severe genu valgum, flexion deformity or rotational corrections

- can be performed for treatment of post surgical or post traumatic drop foot, common peroneal neuropathy

3 structures to release:

1 - floor and aponeurosis of the lateral compartment
2 - fascia of the thigh
3 - inter muscular septum between lateral and anterior compartments

Check out full video on YouTube @ https://youtu.be/xVEKZG-Pgig?si=fuax5M74fv_iHsAQ

Thank you Alvien Lee our media specialist for the video editing!

Complications of Cosmetic Limb Lengthening - Case #2 When Tibia Lengthening goes south

This is a gentleman who underwent bilateral tibia lengthening 6 months prior in another practice. It resulted in severe apex anterior deformity and leg length discrepancies which rendered him unable to walk.

Surgeons, residents: What are the different causes that led to the deformity in the first place ?

3 failed exchange nailings and 2 broken tibial tuberosities later, he reached out to us to attempt to solve the issue.

We chose to use the still-flexible regenerate and apply two computerized circular external fixators to correct the multi planar deformity.
and I were prepared to perform a new osteotomy if the regenerate didn’t move.

We were able to correct the deformity, allow immediate weight bearing, and let the regenerates heal. Upon removal of the right fixation, decision was made to reinforce the tibia with a nail.

Internal tibia lengthening surgery is extremely technically challenging and should not be taken lightly. The slightest technical mistake can lead to serious complications.

What caused the initial deformities and what could have been done to prevent them?

This is a beautiful 26 year old woman who had been suffering from knee pain from .

She was also very self conscious from the looks of her legs and decided to feed 2 birds with 1 scone

We performed staged bilateral lateral distal femoral open wedge (DFO) and plating.