![]() I remember just driving up to Shriners, and always going through those doors and feeling so welcome. And that is something that as a parent, it's very frightening. It is physical trauma that you're putting your child through. Even though Gianna probably doesn't remember it, I'm sure there's a lot of trauma. You come really early in the morning, and it just was a calm day. The day of surgery, we came up to the hospital. It was a community of people and families, that we knew that this was the place that we could be with her for long term. It was the doctors, it was the processes. There was physical therapists, there were people to help us with services in our community. We knew it wasn't just a surgery that was going to be completed and we were on our own. And I can visualize what my child was going to be, and how she was going to be. We see these other kids that are there, and they're smiling, and they're laughing, and they're with their families. And the beauty of it is we could see another kid that was maybe a year old, and we can see a three-year-old, and we can see a five-year-old, and seven and nine. We had our first visit at a clinic at Shriners. And it was so calm and peaceful in that moment, and I think having Sofia already, and her having a big sister, life just. And certainly we were hoping for a leg lengthening procedure, but as that discrepancy grew, we started to realize that that option probably wasn't as viable of an option for her. And they had talked about, well, there's leg lengthening procedures, there's amputations. And so, very quickly he had us on the phone with an orthopedic, just explaining to us what condition this was, what type of life we could expect. And he was actually friends with the chief of staff at Shriners in Los Angeles. He called it proximal fibular focal deficiency.įortunately, our OBGYN, her husband was an orthopedist. You go in to find the sex of your baby, and you find out we have other issues that we need to address. And so, that type of decision isn't taken lightly, but we are fortunate that we take care of so many kids with this condition. And although she could have been able to do some things with that non-functional leg, she would not be able to do as much as if she got an amputation and was fitted with a prosthesis. In Gianna's case, she had a leg that was essentially non-functional below the knee. He also noticed that the upper bone in her thigh, or her thigh bone was bowed, and not as long as the right leg. And then he started to continue to take some measurements, and a few minutes later he came out and said, "I think I'm noticing something here." And it was, first of all, that she was missing a bone in her lower leg. And the doctor quickly identified that she was going to be a girl. At 2-weeks post op, patient was weight-bearing as tolerated with no displacement noted on radiographic imaging.We were excited to find out what we were going to have for their second child. On postoperative day 1, the patient was weight-bearing as tolerated using a hemi walker and released from the hospital the following day. The IlluminOss implants were inserted, filled with liquid monomer, and cured using visible light. The anterior column was treated in a standard retrograde fashion, though a much longer construct was made possible by using a flexible implant. This novel corridor is possible only with the use of a flexible implant. The patient was treated operatively through a novel approach to the posterior column traversing down the gluteus medius pillar and curving posteriorly to the acetabulum to go down the posterior column. The patient failed two days of conservative treatment, complaining of significant pain and discomfort and surgical intervention was requested. CT scan revealed a typical geriatric both-column acetabular fracture with mild protrusio. The patient’s past medical history was significant for a previous left hip fracture and left-sided weakness from 2 left sided strokes requiring the use of a hemiwalker. A 66-year-old male sustained a left acetabular fracture after a fall.
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