24 year old jeweller suffered severe single limb trauma with compound comminuted fracture in tibia and a severe acute bone loss in the femur. There was low grade infection and bone gap and shortening
The ilizarov fixator permitted walking and fixation of the comminuted fracture of the tibia. The femur had a proximal corticotomy with lengthening which gradually reduced the gap in the lower femur.
After 11 months of treatment the femur is solidly healed , the gap is filled and there is no infection or deformity in the limb. For purposes of reducing treatment duration the limb was kept 3 cm short which is easily compensated by a raise.