Impaired Joint Motion During and After Callus Distraction

The temporary loss of motion of adjacent joints is a common complication after distraction osteogenesis of the lower limb. Various treatment options are available to address tendon shortening. Muscle imbalance, too rapid rate of distraction, intra-operative transfixation of tendons, fascia, and muscles must be avoided. Furthermore, fracture location, frame mounting location, arthrofibrosis, and damage to the joint cartilage can influence joint motion. The present case shows treatment strategies to manage joint contractures.