By Mehmet Kocaoğlu, Hiroyuki Tsuchiya, Levent Eralp
As because of the contemporary advances in surgical thoughts and implant know-how it truly is now attainable to accomplish limb reconstruction in sufferers with various congenital, posttraumatic, and postinfection pathologies. This booklet is a transparent, useful consultant to the state of the art surgeries hired in limb reconstruction for various stipulations. It comprises specified descriptions of the suggestions themselves, followed through various important drawings and pictures. Pearls and pitfalls are highlighted, and thorough suggestion can also be supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have rigorously chosen the participants according to their services, and lots of of the authors have been themselves accountable for constructing the ideas that they describe.
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Extra info for Advanced Techniques in Limb Reconstruction Surgery
If this is performed, the fibular osteotomy can be performed at the same level since the nerve is protected and the osteotomy is performed under direct vision of the nerve. For FAN of the tibia, the fibula is osteotomized at the mid-diaphyseal level through a small posterolateral incision (Fig. 19). Percutaneous tibial osteotomy can be performed through a mini incision using either multiple drill holes or Paley’s focal dome drill guide (Fig. 20). With an osteotome, the completeness of the osteotomy is verified as described previously.
5 Preoperative Planning • Deformity analysis should be performed according to the deformity planning guidelines given by Paley et al. (CORA planning method using joint orientation lines) (Paley and Tetsworth 1992; Paley et al. 1994) (Fig. 3). • Determination of the level(s) of the osteotomy(ies) should be conducted. • If the deformity is at the distal femoral metaphysis, retrograde IM nail insertion should be performed through the intercondylar notch. • The diameter and size of the IM nail should be determined based on the scaled AP and lateral x-rays of the affected bone segment(s).
One-centimeter blocks should be used to level the pelvis in the AP view. – A magnification marker is used to determine the size and diameter of the IM nail and to determine the number and level of the osteotomy(ies) (Fig. 3). 2005 84º 10º LPFA:120 37º MAD 55 mm 81º MLDFA:110 MPTA:91 Fig. 3 Deformity analysis is performed on the x-ray of the right femur. 5 Preoperative Planning • Deformity analysis should be performed according to the deformity planning guidelines given by Paley et al. (CORA planning method using joint orientation lines) (Paley and Tetsworth 1992; Paley et al.