{"id":8244,"date":"2020-08-10T11:36:53","date_gmt":"2020-08-10T01:36:53","guid":{"rendered":"https:\/\/blogs.rch.org.au\/news\/?p=8244"},"modified":"2020-08-10T11:36:53","modified_gmt":"2020-08-10T01:36:53","slug":"bendigo-toddler-thriving-one-year-after-having-leg-amputated","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/news\/bendigo-toddler-thriving-one-year-after-having-leg-amputated\/","title":{"rendered":"Bendigo toddler thriving one year after having leg amputated"},"content":{"rendered":"<p><em><strong>Words:\u00a0<\/strong><\/em><em><strong>Tara Cosoleto, Bendigo Advertiser\u00a0<\/strong><\/em><\/p>\n<p><strong><em>Photos: Noni Hyett, Bendigo Advertiser\u00a0<\/em><\/strong><\/p>\n<p><strong>Bendigo toddler thriving one year after having leg amputated due to rare tibial hemimelia condition<\/strong><\/p>\n<p>Leonardo Htoo Doe was only 16 months old when he went through a life-changing operation.<\/p>\n<p>The Bendigo boy, now aged two, had his right leg amputated below the knee a year ago.<\/p>\n<p>Leonardo was born with tibial hemimelia &#8211; a rare birth defect which affects only one in one million babies. It meant the tibia in his right leg was only partially formed.<\/p>\n<p>In August, 2019, Leonardo had surgery at The Royal Children&#8217;s Hospital in Melbourne to amputate part of his right leg. Leonardo&#8217;s mother Yah Ruslin Kunoo said the surgery, and the subsequent year of recovery, all went to plan.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-8247 alignright\" src=\"https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_5568_3712_w1200_h678_fmax-400x267.jpg\" alt=\"\" width=\"345\" height=\"230\" srcset=\"https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_5568_3712_w1200_h678_fmax-400x267.jpg 400w, https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_5568_3712_w1200_h678_fmax-768x512.jpg 768w, https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_5568_3712_w1200_h678_fmax-800x533.jpg 800w, https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_5568_3712_w1200_h678_fmax.jpg 1017w\" sizes=\"auto, (max-width: 345px) 100vw, 345px\" \/><\/p>\n<p>&#8220;We&#8217;re doing very well and coping very well,&#8221; she said. &#8220;Leo hasn&#8217;t been able to go outside and walk freely in the park because of COVID-19.<\/p>\n<p>&#8220;But he&#8217;s been very happy &#8211; even though he gets grumpy sometimes. But other than that, he&#8217;s good.&#8221;<\/p>\n<div class=\"\">\n<div class=\"assets\">\n<p>Ms Kunoo said Leonardo&#8217;s initial days of recovery were &#8220;hectic&#8221;.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;At night, Leo would dream about his phantom leg,&#8221; she said. &#8220;So he would miss his leg and he would wake up screaming at night, trying to reach for it. But it wasn&#8217;t there so he was traumatised by that a bit.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;But other than that, we gave him the proper medical treatments and care for him to heal well. He healed very well within two months.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;From there, we took his cast off and then two months after his surgery, he got his prosthetic. Since then, he&#8217;s been able to walk properly with his prosthetic.&#8221;<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Ms Kunoo said her two-year-old son was now able to move around on his own.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;He adapted really fast,&#8221; she said. &#8220;He is now able to let go of my hands and his dad&#8217;s hands to walk by himself.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;The Bendigo hospital also lent their equipment to Leo so he could learn how to walk by himself. He knew how to walk within five months of using the equipment.&#8221;<\/p>\n<div class=\"\">\n<div class=\"assets\">\n<p>The Royal Children&#8217;s Hospital orthopaedic surgeon Dr Chris Harris performed the surgery on Leonardo last year.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Dr Harris said there were very few amputations performed at The Royal Children&#8217;s Hospital each year.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;One of the things for doctors looking after children is that often a lot of the operations are technically not difficult,&#8221; Dr Harris said.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;But the biggest challenge is making the decision. We constantly want to make the right decision for the child.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;In terms of the surgery itself, children have a great record of recovery. Leonardo has done very well.&#8221;<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Ms Kunoo said Leonardo had outgrown his current prosthetic leg and was due to receive a new one in October.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;We&#8217;ll get it fitted for him again,&#8221; she said. &#8220;They will create a new prosthetic for him that&#8217;s a different height.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;With this one, he&#8217;s able to walk with it but because his leg is getting bigger it&#8217;s getting a bit too small for him.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;So hopefully when he gets a new one he&#8217;ll be able to get a knee with it because this first prosthetic doesn&#8217;t have a knee.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;If he can&#8217;t, then we will just have to wait until he&#8217;s a few years older. But we&#8217;re wishing he could get one.&#8221;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-8246 alignright\" src=\"https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_4716_3186_w1200_h678_fmax-400x270.jpg\" alt=\"\" width=\"329\" height=\"222\" srcset=\"https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_4716_3186_w1200_h678_fmax-400x270.jpg 400w, https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_4716_3186_w1200_h678_fmax-768x519.jpg 768w, https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_4716_3186_w1200_h678_fmax-800x540.jpg 800w, https:\/\/blogs.rch.org.au\/news\/files\/2020\/08\/r0_0_4716_3186_w1200_h678_fmax.jpg 1004w\" sizes=\"auto, (max-width: 329px) 100vw, 329px\" \/><\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Ms Kunoo said Leonardo was just as active as any other toddler &#8211; energetic and mostly happy.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;Everyone loves his new leg because he can play and do activities with everyone now,&#8221; she said.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;My partner&#8217;s family&#8217;s side, they were very supportive and very happy that we did it because most of his uncles get to play with him and take him out.&#8221;<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>While he would be old enough to go to kinder next year, Ms Kunoo said he wasn&#8217;t quite ready yet.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;I want to put him through kinder but because he requires a lot of care, I&#8217;m not going to push him towards it if he doesn&#8217;t want to go,&#8221; she said.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;His knowledge is very good. He can speak both Karen and English. He understands everything very well and knows all his manners.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;But physically, he needs more help so that&#8217;s why I&#8217;m just going to wait until he has the hang of it very well.&#8221;<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Ms Kunoo said even though it had been a year since the surgery and Leonardo had recovered, she still had moments where she doubted her decision.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;A year on now, everyone is very happy that we decided to amputate,&#8221; she said. &#8220;Even though sometimes I look back and would like to have still kept the leg.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;I&#8217;m happy too but because Leo&#8217;s a person that I created, I have that attachment to him. But everyone loves his new leg because he can play and do activities with everyone now. It&#8217;s good.&#8221;<\/p>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Dr Harris commended Leonardo&#8217;s parents for making the difficult decision to amputate.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;Leo parents made a really brave decision,&#8221; he said. &#8220;It was one that we were all in agreement with that it was the way to go. Our experience with other kids who have made this decision is that they have a full childhood.&#8221;<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Dr Harris said the surgery Leonardo had would help him to prosper in life.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;The great thing about an amputation is that it allows the child to get along with their childhood without going through endless surgeries to make a leg that isn&#8217;t good look or seem good,&#8221; he said.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;The negative side is that you become prosthetic dependant. In a child, because they are growing, they will need to get new prosthetic.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;Even in the adult population they need their prosthetic renewed because they wear out. It&#8217;s like getting a new pair of shoes.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;But in Leonardo&#8217;s case, he would have been dependant on some sort of brace for a long time, or maybe forever.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;The real positive with the amputation is that he can have a very full childhood. And you see with modern prosthetic limbs, people can literally do any activity they want.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;You see pictures of people climbing rocks and doing all sorts of activities with prosthetic limbs. For Leonardo as a one-sided amputee, he can go forward really well.&#8221;<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>Ms Kunoo said she knew Leonardo would have a positive future.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;He has grown up very healthy,&#8221; she said. &#8220;We&#8217;re just happy that we gave him the surgery because that was very successful.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;He has turned into a very handsome and smart young man, even though he is very grumpy sometimes.But he&#8217;s doing very well with the prosthetic. I can see him having a very successful future.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;That&#8217;s what I&#8217;m most proud of &#8211; that he is coping very well even though he&#8217;s been put in this situation. He hasn&#8217;t backed down one bit.<\/p>\n<\/div>\n<\/div>\n<div class=\"\">\n<div class=\"assets\">\n<p>&#8220;That&#8217;s what I&#8217;m happy about and why I&#8217;m so happy to be his mum, because I get to watch him succeed everyday.&#8221;<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Leonardo Htoo Doe was only 16 months old when he went through a life-changing operation.<\/p>\n","protected":false},"author":190,"featured_media":8247,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8971,6],"tags":[],"class_list":["post-8244","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-in-the-news"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts\/8244","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/users\/190"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/comments?post=8244"}],"version-history":[{"count":6,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts\/8244\/revisions"}],"predecessor-version":[{"id":8252,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/posts\/8244\/revisions\/8252"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/media\/8247"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/media?parent=8244"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/categories?post=8244"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/news\/wp-json\/wp\/v2\/tags?post=8244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}