By Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp
As due to the fresh advances in surgical innovations and implant know-how it's now attainable to accomplish limb reconstruction in sufferers with a number congenital, posttraumatic, and postinfection pathologies. This booklet is a transparent, sensible consultant to the state of the art surgeries hired in limb reconstruction for varied stipulations. It contains special descriptions of the options themselves, followed through various worthwhile drawings and images. Pearls and pitfalls are highlighted, and thorough recommendation is additionally supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have conscientiously chosen the individuals in keeping with their services, and plenty of of the authors have been themselves accountable for constructing the recommendations that they describe.
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Additional info for Advanced Techniques in Limb Reconstruction Surgery
4 A drawing displaying one-centimeter blocks under the shortened extremity to provide a level pelvis Fig. 5 A computerized scan (CT) displaying a nonunion of the tibia associated with shortening 4. Six-millimeter conical hydroxyapatite-coated Schanz screws 5. 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.
If the deformity is at the distal femoral metaphysis, retrograde IM nail insertion should be performed through the intercondylar notch. • The diameter and size of the IM nail should be determined based on the scaled AP and lateral x-rays of the affected bone segment(s). • Digital or paper tracing should be performed to simulate the surgery and to determine the provisional and final position of the bone segment, according to the following factors (Figs. 5): – The location of the extra, custom-made hole(s) on the IM nail should be determined.
3). 2005 84º 10º LPFA:120 37º MAD 55 mm 81º MLDFA:110 MPTA:91 Fig. 3 Deformity analysis is performed on the x-ray of the right femur. 5 Preoperative Planning • Deformity analysis should be performed according to the deformity planning guidelines given by Paley et al. (CORA planning method using joint orientation lines) (Paley and Tetsworth 1992; Paley et al. 1994) (Fig. 3). • Determination of the level(s) of the osteotomy(ies) should be conducted. • If the deformity is at the distal femoral metaphysis, retrograde IM nail insertion should be performed through the intercondylar notch.
Advanced Techniques in Limb Reconstruction Surgery by Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp
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