Tygerberg Hospital performs South Africa's first fully internal bone transport and limb-lengthening surgery
From left to right: Dr Edward Fuzy, Dr Jayesh Haribhai (at the back), and on the right, Dr Tino-Vito Orlandi.
Image: Supplied
Tygerberg Hospital, has made history by performing South Africa’s first fully internal bone transport and limb-lengthening reconstruction, a significant milestone that underscores the institution's commitment to surgical innovation and patient care. This pioneering case marks the first of its kind across both the public and private healthcare sectors in the country.
The surgery, carried out in partnership with Stellenbosch University, has positioned Tygerberg Hospital among a select few centres worldwide capable of performing this advanced limb salvage technique within the public sector. The patient, a 64-year-old former police officer, endured the long-term effects of a severe gunshot injury he suffered in 2018, which left him battling chronic pain, an unhealed fracture, and a daunting difference in leg length. Despite multiple earlier surgeries at different hospitals, he remained significantly affected by his condition.
From left to right Dr Edward Fuzy, Dr Jayesh Haribhai, Prof Nando Ferreira.
Image: Supplied
In a breakthrough operation, surgeons successfully reconstructed a 50 mm bone defect and corrected a 30 mm limb-length discrepancy, utilising a fully internal device designed to facilitate both bone transport and subsequent limb lengthening without the need for external frames. This innovative approach not only enhances patient comfort but also reduces associated risks of complications, resulting in a shorter recovery period.
Professor Nando Ferreira, a key figure in the surgical team said the operation demonstrated how far tthey 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.”
Fitbone trial nail for insertion before the definitive implant to test fit and screw placement in the bone.
Image: Supplied
He emphasised the honour of being selected as one of the few centres globally to adopt this procedure during its restricted market release, highlighting the collaborative spirit between clinical excellence and robust academic partnerships.
Dr Edward Fuzy, another integral member of the surgical team, elaborated on the operational advantages of this method, explaining how it enables them to tackle complex bone loss issues in a single intervention while significantly minimising the risks traditionally associated with such procedures.
The success of the operation is a point of pride for Tygerberg Hospital’s leadership. CEO Dr Matodzi Mukosi hailed it as a testament to the incredible talent and innovative spirit residing within the institution.
“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.”
This milestone also reflects the broader efforts of the Western Cape to construct a health system dedicated to supporting its residents throughout their life journeys. The advanced trauma and limb reconstruction services offered play a vital role in enhancing the mobility, dignity, and independence of area residents.
The knowledge gained from this pioneering procedure could be invaluable for children born with congenital limb differences or those facing early trauma, helping to ensure a stronger start in life. Likewise, older adults, particularly those susceptible to injuries and complex fractures, stand to gain from safer surgical innovations that allow them to age with greater confidence and mobility.
The Western Cape provincial government said its provincial health system, bolstered by strong governance and academic collaborations, "continues to effectively serve the 85% of residents who rely on public healthcare".
"For many in the Western Cape, especially those from vulnerable communities burdened by trauma-related injuries, this breakthrough offers a realistic pathway back to work, autonomy, and an improved quality of life," it said in a statement.
The newly reconstructed bone is anticipated to form over approximately 100 days, followed by several months of consolidation.
"This case has attracted international attention, showcasing the Western Cape’s emerging leadership in surgical innovation and patient-centred care, further solidifying Tygerberg Hospital's reputation as a centre of excellence."