Due to fresh advances in surgical concepts and implant know-how it truly is now attainable to accomplish limb reconstruction in sufferers with quite a number congenital, posttraumatic, and postinfection pathologies. This ebook 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 suggestions themselves, followed by way of a number of priceless 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 members in accordance with their services, and plenty of of the authors have been themselves accountable for constructing the strategies that they describe.
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Extra info for Advanced Techniques in Limb Reconstruction Surgery
E. Bilen a b Fig. 8 Schematic drawing of a femoral FAN-LON procedure. Initially the IM nail is longer than the bone; however, it lies entirely within the bone at the end of lengthening 3 Femoral and Tibial Deformity Correction Fig. 5-cm radius circle, the length and the size of the IM nail can be determined a the contact between the two fragments remains only at the edge of the fragment (Fig. 26). – The level of lengthening osteotomy and the length of the IM nail are chosen to ensure that at least 8 cm of the nail lies above the distraction gap at the end of the lengthening procedure (Fig.
9). In the sagittal plane, it is crucial that the pins avoid any contact with the intramedullary nail (Figs. 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.
Kocaoğlu et al. 1007/978-3-642-55026-3_2, © Springer Berlin Heidelberg 2015 33 D. Paley et al. 34 Fig. 1 A patients orthoroentgenogram showing multiapical deformities in the lower extremities Fig. 3 Examination Physical examination should include documentation of the range of motion of the adjacent joints, muscle strength, and neurologic status. Clinical length alignment and discrepancies should be noted and then measured radiographically. Imaging Studies • An orthoroentgenogram in both planes should be obtained according to the following guidelines (Fig.