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Well no, I wouldn’t suggest that since I am not even in your country :), :D. Is it possible anyhow, to have a 45 mile distance to a CT Scanner in the USA? –just kidding…you have way more scanners still than we have here. I do think that follow ups are best performed consistently, by the site who may opt to surgically treat the condition.
For assessment of LLD, one could do what we use to call a scanogram radiographically. This would work for lesser LLD’s.
The technologist places lead on the lower 2/3’rds of a 14 x 17 film. They also lay a ruler down on the middle of the table.
They then have the patient lay down on the table on top of the ruler. The patient should be holding their feet against a book end or something to stabilize their feet–tape also helps with this. On the top 1/3 of the film, a single exposure of the hips is performed. The lead moved to cover the top exposure and the lower third. The knees are then x-rayed…the lead is moved again and then the same for ankles….adusting for technique accordingly…(The use of Lead prevents scatter spreading over the other exposures). You get a film that looks much like a scanogram…but is subjected to less distortion due to the optimization of the central x-ray beam over each joint. The only down side of this procedure is that you do not see the entire length of the long bones.
Hope that this helps.Radiant1
