South Africa's first internal bone transport surgery performed at Tygerberg Hospital

South Africa’s first fully internal bone transport and limb-lengthening reconstruction has been performed on a 64-year-old former police officer at Tygerberg Hospital. 

This is the only case of its kind performed in the country across both the state and private sectors. In partnership with Stellenbosch University, the hospital now stands among only a few centres worldwide with the capability to perform this advanced limb salvage technique within the public sector.

The patient had lived with the long-term consequences of a severe gunshot injury sustained in 2018. Despite multiple surgeries elsewhere, he continued to struggle with chronic pain, an unhealed fracture, and a substantial difference in leg length that affected his quality of life. Surgeons reconstructed a 50 mm bone defect and corrected a 30 mm limb-length discrepancy. The fully internal device allows surgeons to complete both bone transport and subsequent limb lengthening without external frames, improving comfort, reducing complication risks, and shortening recovery.

Professor Nando Ferreira said: “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.”

Dr Edward Fuzy explained how this method allowed them to tackle complex bone loss in a single operation while avoiding many of the complications of traditional approaches.

Tygerberg Hospital CEO, Dr Matodzi Mukosi said the breakthrough highlights the incredible talent and innovation within the hospital. 

“It shows what is possible when clinical excellence and strong partnerships work together for our patients.”

For many patients in the Western Cape, particularly those from vulnerable communities who carry the long-term burden of trauma-related injuries, this breakthrough offers a realistic pathway back to work, independence, and improved quality of life, the doctors said. 

The newly regenerated bone is expected to form over roughly 100 days, followed by several months of consolidation.

Cape Times