By Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp
As as a result contemporary advances in surgical thoughts and implant expertise it's now attainable to accomplish limb reconstruction in sufferers with more than a few congenital, posttraumatic, and postinfection pathologies. This ebook is a transparent, useful consultant to the cutting-edge surgeries hired in limb reconstruction for various stipulations. It comprises designated descriptions of the recommendations themselves, observed by means of a variety of beneficial drawings and pictures. Pearls and pitfalls are highlighted, and thorough recommendation can also be supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have conscientiously chosen the participants in accordance with their services, and plenty of of the authors have been themselves liable for constructing the thoughts that they describe.
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Extra resources for Advanced Techniques in Limb Reconstruction Surgery
In the sagittal plane, it is crucial that the Schanz screws avoid any contact with the intramedullary nail. The pins should be at the posterior aspect of the tibia on the sagittal plane to leave enough space for the nail (Figs. 18). 40 D. Paley et al. Fig. 17 Schanz screws are placed posteriorly at the proximal tibia to allow insertion of the IM nail Fig. 15 AP view showing placement of the proximal Schanz screws parallel to the knee joint Fig. 18 Schanz screws are placed posteriorly at the distal tibia to allow space for the IM nail Fig.
Bibliography Bilen FE, Kocaoglu M, Eralp L, Balci HI (2010) Fixatorassisted nailing and consecutive lengthening over an intramedullary nail for the correction of tibial deformity. J Bone Joint Surg Br 92(1):146–152 Chen D, Chen J, Jiang Y, Liu F (2011) Tibial lengthening over humeral and tibial intramedullary nails in patients with sequelae of poliomyelitis: a comparative study. Int Orthop 35(6):935–940 Gordon JE, Goldfarb CA, Luhmann SJ, Lyons D, Schoenecker PL (2002) Femoral lengthening over a humeral intramedullary nail in preadolescent children.
21). – Schanz screws are placed parallel to the axial plane of each fragment. Thus, once the Schanz screws are secured to the external fixator following the osteotomy/osteotomies, the rotational deformities have been corrected (Fig. 22a, b). – To correct sagittal plane deformities, the Schanz screws need to be placed parallel to the sagittal plane axis of each fragment (Figs. 23a, b). 5-mm drill bits, multiple drill holes are created percutaneously at the osteotomy level(s). – An obligatory translation is necessary at the osteotomy level, especially in the metaphyseal area if the center of rotation of angulation (CORA) is at a different level (Fig.
Advanced Techniques in Limb Reconstruction Surgery by Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp