By Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp
As as a result fresh advances in surgical ideas and implant know-how it's now attainable to accomplish limb reconstruction in sufferers with quite a number congenital, posttraumatic, and postinfection pathologies. This ebook is a transparent, useful advisor to the cutting-edge surgeries hired in limb reconstruction for various stipulations. It comprises special descriptions of the concepts themselves, observed by way of various necessary drawings and pictures. Pearls and pitfalls are highlighted, and thorough suggestion can also be supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have rigorously chosen the participants in keeping with their services, and plenty of of the authors have been themselves liable for constructing the suggestions that they describe.
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Additional info for Advanced Techniques in Limb Reconstruction Surgery
Clin Orthop Relat Res 466(12):2923–2932 Simpson AH, Cole AS, Kenwright J (1999) Leg lengthening over an intramedullary nail. J Bone Joint Surg Br 81(6):1041–1045 Song HR, Oh CW, Mattoo R, Park BC, Kim SJ, Park IH, Jeon IH, Ihn JC (2005) Femoral lengthening over an intramedullary nail using the external fixator: risk of infection and knee problems in 22 patients with a follow-up of 2 years or more. Acta Orthop 76(2):245–252 Watanabe K, Tsuchiya H, Sakurakichi K, Yamamoto N, Kabata T, Tomita K (2005) Tibial lengthening over an intramedullary nail.
Unilateral external fixator (Orthofix LRS, Bussolengo, Italy, or EBI Monorail Fixation System, Biomet, Parsippany, NJ, USA) (Fig. 13) 6. Flexible intramedullary reaming system 7. 8 mm 8. 5 mm 9. Intramedullary nail (the authors prefer Ortopro Retrograde 4G Nails, Istanbul, Turkey) (Fig. 6 Positioning • The patient is placed supine on the radiolucent table with the affected hip slightly elevated, using a silicone bag under the buttock to facilitate the lateral view (Fig. 14). • The region from the hip to the ankle joint is checked by fluoroscopy in both planes before sterile preparation.
D) After nail distal locking and external fixator removal. The distal tibial-fibular screw prevents the distal fibula from riding up. (e) Standing film 4 months after locking, showing complete healing. (f) Standing film after hardware removal (Reprinted with permission from the Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore) 1 Lengthening over Nails (LON): Femur and Tibia d Fig. E. Herzenberg et al. 28 a b External fixation half pins inserted Tibia overreamed 2 mm greater than diameter of nail to be inserted c d e Nail inserted Osteotome twisted 90° to complete osteotomy Fig.
Advanced Techniques in Limb Reconstruction Surgery by Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp