Madeline had pain and difficulty walking. A tibial deformity from an old fracture led to disabling arthritis of knee and ankle.

This further worsened the deformity.

This movie shows her very abnormal gait. (To view the video clip, you will need to install the free QuickTime Player.)

A two stage surgical approach was used. First, an ankle fusion and correction of the tibial malunion was done with an Ilizarov Taylor Spatial Frame.

Second, a total knee replacement was done.

By correcting the deformity in 3 places, the leg is straightened, lengthened, and pain is successfully treated. Her gait is much better.