Due to contemporary advances in surgical strategies and implant expertise it really is now attainable to accomplish limb reconstruction in sufferers with more than a few 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 comprises unique descriptions of the concepts themselves, observed by means of quite a few worthy drawings and images. 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 individuals according to their services, and lots of of the authors have been themselves accountable for constructing the thoughts that they describe.
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Additional info for Advanced Techniques in Limb Reconstruction Surgery
11). Since the nail enters posteriorly, the distal half pins should be based anteriorly. Proximally, the nail is located anteriorly. The half pins should be located posteriorly at the level of the lesser trochanter. In the presence of a rotational deformity, the distal and proximal pairs of pins are inserted in different rotational planes to each other. 2 Combined Technique: Correction of Long Bone Deformities Using Fixator-Assisted Nailing 37 Fig. 7 Preoperative checking with the C-arm from hip to the ankle Fig.
Pearls • If regenerate bone formation is noted to be poor at the time of distal nail locking and fixator removal, consider concentrated bone marrow injection to the regenerate. • After fixator removal, allow partial weight bearing. Progress to full weight bearing when there are two cortices of healed tibia noted on radiographs. A solidly healed fibula “counts” as one cortex. Dynamization by removing the distal locking screws can be done if desired, when there are two cortices intact. E. Herzenberg et al.
If translation is needed at the osteotomy site, the osteotome is inserted into the center of the osteotomy site and twisted such that the desired translation is produced. Alternatively, half pins can be used as a joystick to produce the translation manually (Fig. 13). Fig. 13 Translation and correction are shown in this AP view x-ray, which is maintained by the unilateral external fixator 2 Combined Technique: Correction of Long Bone Deformities Using Fixator-Assisted Nailing Angular correction is performed by accurately using an external fixator.
Advanced Techniques in Limb Reconstruction Surgery