By S. Robert Rozbruch, Reggie C. Hamdy
Consisting of case stories contributed via either family and overseas leaders within the box, this is often a useful source for all orthopedic surgeons and researchers and practitioners of limb lengthening, deformity correction and the Ilizarov procedure. accomplished but available, this quantity covers pediatric deformity correction, from congenital deformities to progress plate accidents. all of the special circumstances comprises colour photos and radiographs from earlier than, in the course of and after surgical procedure and should stick to a constant bankruptcy constitution which outlines a short scientific historical past of the case, preoperative challenge checklist, remedy technique, simple rules, technical pearls and the way to prevent and deal with problems and next difficulties. instructed readings around out every one case. A accomplished presentation of options is featured, together with exterior fixation, inner fixation, blend methods and entirely implantable limb lengthening nails. This case-based method is an effective and thorough strategy to examine this intriguing new frontier in orthopedic surgery.
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Extra resources for Limb Lengthening and Reconstruction Surgery Case Atlas: Pediatric Deformity
6 5 Basic Principles . . . . . . . . . . . . . . . . . . . . . . . . . 6 6 Images During Treatment . . . . . . . . . . . . . . . . . . . 7 7 Technical Pearls . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Outcome Clinical Photos and Radiographs . . . . . . . . . 7 9 Avoiding and Managing Problems . . . . . . . . . . . . . . 7 10 Cross-References . . .
Plain X-rays may suggest a rotational malalignment, but cannot quantify the magnitude of the deformity. For limb length discrepancies, a wooden block placed under the shorter leg to level the pelvis usually gives a good clinical measure of the magnitude of shortening (Fig. 5). When there are angular deformities in the limbs, it is important to differentiate true from apparent LLD (Fig. 6). Each deformity should be identified and characterized separately in order to decide which one (or ones) needs to be addressed and which need not be corrected.
Furthermore, any associated LLD could not be addressed at the same time. Combined Gradual and Acute Correction In some cases of multiple deformities, especially when both femur and tibia are affected, a viable alternative is acute correction of the deformities in one bone (usually the femur) and gradual correction of the other, as discussed in several cases in the atlas. The femoral deformities are addressed by acute correction (whether standard technique or fixator assisted), and the tibial deformities are addressed by gradual correction with external fixators.