By Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp
As as a result of contemporary advances in surgical concepts and implant expertise it really is now attainable to accomplish limb reconstruction in sufferers with quite a number congenital, posttraumatic, and postinfection pathologies. This ebook is a transparent, functional consultant to the state of the art surgeries hired in limb reconstruction for various stipulations. It contains distinct descriptions of the thoughts themselves, followed through various important drawings and pictures. Pearls and pitfalls are highlighted, and thorough recommendation is additionally supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have rigorously chosen the members in accordance with their services, and plenty of of the authors have been themselves liable for constructing the concepts that they describe.
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Additional resources for Advanced Techniques in Limb Reconstruction Surgery
Clin Orthop 280:65–71 2 Combined Technique: Correction of Long Bone Deformities Using Fixator-Assisted Nailing Paley D, Herzenberg JE, Tetsworth K et al (1994) Deformity planning for frontal and sagittal plane corrective osteotomies. Orthop Clin North Am 25:425–465 Paley D, Herzenberg JE, Bor N (1997a) Fixator-assisted nailing of femoral and tibial deformities. Tech Orthop 12:260–275 Paley D, Herzenberg JE, Paremain G et al (1997b) Femoral lengthening over an intramedullary nail. A matched-case comparison with Ilizarov femoral lengthening.
H) Locking screws applied distally in the nail. (i) External fixator removed (Reprinted with permission from the Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore) 1 Lengthening over Nails (LON): Femur and Tibia Fig. E. Herzenberg et al. 30 Fig. 6 Postoperative Care 1. Problems • Infections are common. Most are pin site infections that seldom become osteomyelitis. Oral antibiotics usually suffice. Serious cases do occur. Toxic shock syndrome and necrotizing fasciitis have been reported.
8 mm tensioned wire. 25 mm TIDQID. Follow-up radiographs should be made every 10–14 days, and the rate of distraction adjusted up or down based on the appearance of regenerate bone. One strategy to consider is to slightly overlengthen (by 1 cm) and then shorten, to compress the regenerate bone and speed healing. Institute physical therapy the day after surgery for passive knee and ankle flexion and extension. The toes should also be stretched. Allow “touchdown weight bearing” (the weight of the leg, not the body weight).