An illustrative and in-depth overview of the many available applications and techniques for limb lengthening and reconstruction, this guide provides step-by-step details on the latest surgical procedures for the correction of limb deformities due to congenital defects, growth disturbances, infection, and trauma in both children and adults. Supplying effective surgical approaches, technical tips, methods to manage complications, and clinical case studies in each chapter, this guide will be a constant companion for all orthopedic, reconstructive, pediatric, foot, ankle, upper extremity, tumor, and trauma surgeons.
Consisting of case studies contributed by both domestic and international leaders in the field, this is an invaluable resource for all orthopedic surgeons and researchers and practitioners of limb lengthening, deformity correction and the Ilizarov method. Comprehensive yet accessible, this volume covers injuries to the upper extremity, adult deformity correction and bone tumors, from humeral lengthening and femoral deformity to amputation reconstruction and reconstruction after benign and malign bone tumors. Each of the unique cases includes color photographs and radiographs from before, during and after surgery followed by a consistent chapter structure which outlines a brief clinical history of the case, preoperative problem list, treatment strategy, basic principles, technical pearls and how to avoid and manage complications and subsequent problems. Suggested readings round out each case. A comprehensive presentation of techniques is featured, including external fixation, internal fixation, combination approaches and fully implantable limb lengthening nails. This case-based approach is an efficient and thorough way to learn this exciting new frontier in orthopedic surgery.
As a result of recent advances in surgical techniques and implant technology it is now possible to perform limb reconstruction in patients with a range of congenital, posttraumatic, and postinfection pathologies. This book is a clear, practical guide to the state-of-the-art surgical procedures employed in limb reconstruction for diverse conditions. It includes precise descriptions of the techniques themselves, accompanied by numerous helpful drawings and photographs. Pearls and pitfalls are highlighted, and thorough advice is also provided on indications, preoperative planning, and postoperative follow-up. The editors have carefully selected the contributors based on their expertise, and many of the authors were themselves responsible for developing the techniques that they describe.
This exercise workbook accompanies "Principles of Deformity Correction", a comprehensive text on the analysis, planning, and treatment of lower limb deformities in an accessible and instructive format. In addition to the book, which is extensively illustrated to avoid confusion and to leave little to the imagination, the planning is further facilitated via the exercise workbook available separately. The methods taught are simple and intuitive and require little memorization. The set of books are of equal interest to pediatric and adult orthopaedic surgeons.
Providing a comprehensive overview of the current orthopedic uses of intramedullary devices, this practical, well-illustrated guide opens with a review of the history of limb lengthening from the early external fixator up to Ilizarov’s monumental discoveries, with a summary of the biology of new bone formation in a widening distraction gap. This is followed by post-Ilizarov developments with external fixators designed to ease application and increase patient tolerance of such devices, as well as a discussion of the intramedullary lengthening devices from the earliest mechanical distractors to the most modern implants, detailing the surgical principles, pre-operative planning and specific operative techniques for each. Concluding chapters focus on preventing and dealing with complications from the surgery and day-to-day post-operative management. A unique feature of the book is a cross-section atlas of the upper and lower limbs that will assist surgeons to avoid impaling neurovascular structures during the minimally invasive portions of operative insertion of the implants. Intramedullary Limb Lengthening: Principles and Practice is an ideal, on-the-spot resource for orthopedic surgeons, residents and trainees treating pediatric and adult limb deformities and length deficiencies, as well as physical therapists and other health care providers who manage such patients post-operatively.
This book provides detailed descriptions of fundamental techniques that may be employed for extremity reconstruction and distraction osteogenesis in accordance with the principles established by Gavriil Abramovich Ilizarov. Techniques of proven value for deformity correction, limb lengthening, reconstruction of post-traumatic and post-osteomyelitis bone defects, non-union surgery, and fracture fixation with external fixators are thoroughly described step by step with the aid of a wealth of illustrative material. In addition, indications and preoperative planning are clearly explained. Throughout, care is taken to highlight important technical tips and tricks as well as clinical pearls and pitfalls. Since the first description of distraction osteogenesis by Ilizarov in the 1950s, numerous technical improvements have been made and new devices, developed, even though the basic principles have remained the same. This new book will be of value for both novice and more experienced surgeons who use distraction osteogenesis for the purpose of extremity reconstruction.
The Ilizarov device has revolutionized the treatment of non-healing fractures and the correction of deformities. This book supplies all the information required in order to use the Ilizarov and other external fixation devices optimally; it will serve as an indispensable manual for both trainee and experienced orthopedic surgeons. Biomechanical principles, preoperative preparation, and the use of a system of coordinates to allow safer insertion of K-wires and half pins are thoroughly discussed. External fixation of a variety of fractures in different pathologic settings is then clearly explained in a series of detailed chapters with the aid of high-quality illustrations. Numerous case reports are included to illustrate the results of different treatment methods. In addition, postoperative management and treatment of complications are described. Since the first edition the text has been thoroughly updated, with inclusion of contributions from leading world experts.
This first guide devoted to this burgeoning topic, this authoritative reference presents the current understanding of the phenomenon of aseptic loosening of total joint replacements from the molecular and cellular mechanisms of periprosthetic bone loss to the clinical presentation and management strategies-reviewing the properties of ceramic, metal, and polymer materials used in the replacement of joints, as well as current research on bone remodeling, wear resistance, the long-term care of implants, and emerging developments in gene therapy and tissue engineering.
Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III – specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide.
Orthofix External Fixation in Trauma and Orthopaedics provides the scientific basis behind the success of the Orthofix system of external fixators, which are now widely used throughout the world. These devices are used in the treatment of serious fractures, limb lengthening and limb reconstruction. This book covers comprehensively the wide range of scenarios in which such devices can be used. Each topic is dealt with by the appropriate international expert in the field. Orthofix External Fixation in Trauma and Orthopaedics should be read by all those involved in elective or traumatic orthopaedics.
In this book, the author describes the most successful surgical procedures for repairing fractures, traumatic injuries, and other problems. Emphasis is on restoring normal anatomy and optimal function. The first two sections present in-depth discussions of the general principles of acute trauma, fracture, and reconstructive surgery. The third section is an atlas that documents in detail specific operative techniques, including arthrodesis, osteotomy, tendon transfers, muscle-balancing techniques, capsulorrhaphy and capsulotomy, and miscellaneous techniques. (Midwest).
Concise, step by step guide to hemicallotasis, including a DVD demonstrating parts of fixator and application technique.
Emphasizing a multidisciplinary team approach, Surgical Reconstruction of the Diabetic Foot and Ankle, 2nd Edition, is an easy-to-follow, well-illustrated guide to the latest surgical techniques in diabetic lower extremity reconstruction. Dr. Thomas Zgonis and an expert team of national and international authors share their extensive knowledge and experience in the surgical treatment of diabetic patients, including challenging clinical scenarios of severe infections, lower extremity deformities, peripheral arterial disease, and soft tissue compromise.