Case Study 2: 70 Year Old Male
A 70 year old male patient with tibia and fibula fractures, many years before. Although an open reduction had been considered, a closed reduction was performed. The patient presented in shoes with a 22 mm heel build up. The patient’s x-rays were captured standing, in the shoes with the 22 mm build up under the right heel. See the images, below. These demonstrate a 24.9 mm discrepancy between the lengths of the legs, with the right being shorter. On the individual bones, the femur lengths are within the 1 mm margin of error. The tibial lengths, however, exhibit a marked discrepancy, and there is deformity of the right tibia and fibula from the prior trauma. The distal third of the fibula has fused with the tibia, and mild osteoarthritis is also noted in the right ankle.