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Advanced Techniques in Limb Reconstruction Surgery by Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp

By Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp

As as a result of fresh advances in surgical recommendations and implant expertise it's now attainable to accomplish limb reconstruction in sufferers with a variety of congenital, posttraumatic, and postinfection pathologies. This e-book is a transparent, functional consultant to the state of the art surgeries hired in limb reconstruction for varied stipulations. It comprises special descriptions of the options themselves, observed via quite a few useful drawings and images. Pearls and pitfalls are highlighted, and thorough recommendation is additionally supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have conscientiously chosen the members according to their services, and plenty of of the authors have been themselves accountable for constructing the recommendations that they describe.

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More than one osteotomy is often needed to correct these deformities to produce a straight bone and to avoid creating secondary iatrogenic deformities (Paley and Tetsworth 1991) (Fig. 1a, b). Correction of all deformities with an Ilizarovtype external fixator during a single operation can cause considerable discomfort (Bilen et al. 2010), but it allows for postoperative adjustments and prevents inequality of limb length. However, Ilizarov-type external fixators have disadvantages, such as pin-track infections, discomfort, and bulkiness (Bilen et al.

B) Immediate postoperative view with nail/fixator in place, spanning across the ankle to prevent equinus. The distal tibial-fibular syndesmosis is transfixed with a bone screw. (c) After 3 cm lengthening, the nail has risen up but still has sufficient length in the c distal segment for stability. (d) After nail distal locking and external fixator removal. The distal tibial-fibular screw prevents the distal fibula from riding up. (e) Standing film 4 months after locking, showing complete healing.

Note the placement of interference screws Fig. 2 Positioning • The patient is placed in the supine position on the radiolucent table, and the affected hip should be slightly elevated using a silicone bag under the buttock to provide a lateral view of the femoral deformities (Fig. 6). • Fluoroscopy from the hip to the ankle joint should be accessible (Fig. 7). • If a long grid is available, it is placed under the matress of the patient. 3 FAN for Femoral Deformity For distal femoral deformity corrections, retrograde intramedullary nailing is preferred.

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