Tygerberg Hospital completes South Africa’s first fully internal limb reconstruction

Tygerberg Hospital has achieved a national milestone by performing South Africa’s first fully internal bone transport and limb-lengthening reconstruction.

The patient, a 64-year-old former police officer, had suffered, since 2018, of a gunshot wound, including chronic pain, an unhealed fracture, and a substantial difference in leg length that affected his quality of life. Surgeons successfully reconstructed a 50mm bone defect and corrected a 30mm limb-length discrepancy using a fully internal device allows comfort, reducing complication risks, and shortening recovery.

SUPPLIED- Theatre pic: from left to right: Dr Edward Fuzy, Dr Jayesh Haribhai (at the back), and on the right, Dr Tino-Vito Orlandi


Professor Nando Ferreira reflected on the significance of the achievement.

‘’This operation demonstrates how far we have come in building world-class limb reconstruction capacity within the South African public sector. For patients who have lived for years with chronic pain and disability, advanced internal bone transport offers a genuine second chance at normal function.’’

 “Our unit was selected as one of only a few centres worldwide to use this procedure during its limited market release. This level of innovation reflects the strength of our surgical team, our academic partnership, and our commitment to delivering patient-centred care at an international standard,” he continued.

Tygerberg Hospital CEO, Dr Matodzi Mukosi, welcomed the milestone as evidence of the institution’s excellence:

“This breakthrough highlights the incredible talent and innovation within our hospital. It shows what is possible when clinical excellence and strong partnerships work together for our patients.”

SUPPLIED: Intraoperative fluoroscopy image showing the definitive nail being inserted and bridging the bone defect



The Western Cape Health & Wellness Department said advanced trauma and limb reconstruction services play a vital role in helping residents live well by restoring mobility, dignity, and independence.

‘’The skills developed through this procedure could strengthen orthopaedic care for children who start life with congenital limb differences or experience early trauma, helping them start well. Older adults, who are increasingly vulnerable to injury and complex fractures, could benefit from safer surgical innovation that helps them age well with greater confidence and mobility. Achievements like this are only possible because the provincial health system continues to run well through strong governance, academic partnerships, and the commitment of clinicians who serve the 85 percent of residents who rely on public healthcare,’’ it said.

The newly regenerated bone is expected to form over roughly 100 days, followed by several months of consolidation. The case has already drawn international attention, underscoring the province’s growing leadership in surgical innovation and patient-centred care.

 

Done By: Mitchum George

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