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Because of fresh advances in surgical recommendations and implant know-how it really is now attainable to accomplish limb reconstruction in sufferers with various congenital, posttraumatic, and postinfection pathologies. This booklet is a transparent, sensible advisor to the state of the art surgeries hired in limb reconstruction for varied stipulations. It contains unique descriptions of the concepts themselves, observed through quite a few worthy drawings and images. Pearls and pitfalls are highlighted, and thorough suggestion is usually supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have conscientiously chosen the participants in response to their services, and lots of of the authors have been themselves answerable for constructing the ideas that they describe.
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Extra info for Advanced Techniques in Limb Reconstruction Surgery
Ideally, preoperative planning included an estimation of where the locking holes in the distal end of the nail would be at the end of lengthening relative to the middle ring. In the operating room, position the patient supine with a bump under the ipsilateral hemisacrum, and bring the image intensifier to the true lateral position, to confirm that you can see “perfect circles” for the distal interlocking sights. If necessary, one or two threaded rods of the external fixator 31 can be removed to provide better visualization and surgical access.
Bilen b Fig. 1 A patient’s preoperative photographic documentation displaying long bowing deformities in the lower extremities (a, front view; b, side view) advantages of both individual techniques (Bilen et al. 2010; Kocaoglu et al. 2009; Paley and Herzenberg 2002). However, the combination of fixator-assisted acute deformity correction and consecutive lengthening over an intramedullary nail requires careful analysis of the deformity and extensive preoperative preparation (Paley and Herzenberg 2002; Paley and Tetsworth 1992).
2001). Orthopedic surgeons have utilized many different procedures to correct these deformities to prevent secondary osteoarthritis. However, these techniques generally result in low patient comfort and lack accuracy. A comprehensive technique termed “fixatorassisted nailing” (FAN) was developed by Dror Paley in 1993 and was first described by Paley et al. in 1997 (Paley et al. 1997a). Its goal was to combine the accuracy and minimal invasiveness of external fixation with the convenience of internal fixation.
Advanced Techniques in Limb Reconstruction Surgery