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Adult Deformity: An Introduction
Pages 1-1
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.
Adult Deformity: An Introduction
Pages 1-1
Case 1: Femur Lengthening with Precice Internal Lengthening Nail
Pages 5-11
Case 2: Tibia Lengthening with Precice Internal Lengthening Nail
Pages 13-18
Case 3: Tibial Lengthening Using a PRECICE Nail
Pages 19-25
Case 4: Both Femur and Tibial Shortening Caused from Hemi-hyperthropia Treated Simultaneously with Two Antegrade Precice Nails
Pages 27-31
Case 5: Combined Deformities of the Femur and Tibia with 9 cm Shortening Treated with a Retrograde Femoral Motorized Lengthening Nail and a Tibial Plate
Pages 33-36
Case 6: Congenital Femoral and Tibial Shortening Internally Lengthened with an ISKD and a Precice Nail
Pages 37-42
Case 7: Femoral Lengthening with Fitbone Nail Treated with “Sandwich Technique” to Remedy Non-union Then Lengthened with Precice Nail at Allogenous Fresh Frozen Strut Graft Site
Pages 43-46
Case 8: Femoral Lengthening (12 cm) with Two Precice Nail Lengthenings. Management of a Broken Precice Nail During the First Lengthening
Pages 47-51
Case 9: Limb Lengthening of 14 cm with Simultaneous Deformity Correction of Femur and Tibia by Fully Implantable, Electric Driven Lengthening Nails
Pages 53-59
Case 10: Malaligned and Short Femur Associated with Vascular Deficit – 2 Stage Realignment and Lengthening with Custom Made Magnetic Driven Intramedullary Nail
Pages 61-67
Case 11: Partial Union After Lengthening, A New Concept in Bone Healing
Pages 69-71
Case 12: Bilateral Distal Femoral Osteotomy, Opening Wedge with Plate, for Genu Valgum
Pages 75-80
Case 13: Complex Femoral Deformity: Acute Correction and IM Nail Fixation
Pages 81-85
Case 14: Femoral Shaft Varus Above a Total Knee Replacement Treated with a Circular Hexapod Fixator
Pages 87-90
Case 15: Periarticular Femur Deformity and LLD: A Modern Approach
Pages 91-95
Case 16: Correction of Bilateral Genu Varum for a High Level Athlete
Pages 99-103
Case 17: Computer Assisted External Fixation for Aesthetic Changing Lower Limb Shape
Pages 105-108
Case 18: Gradual Correction of Distal Tibial Varus Deformity
Pages 109-112
Case 19: Bilateral Genu Varum and LLD Corrected with an Internal Lengthening IMN and Contralateral HTO
Pages 113-118
Case 20: Acute Correction of Combined Deformity of the Tibia by Double Level Osteotomy and Fixator Assisted Plating Technique
Pages 119-125
Case 21: Complex Tibial Deformity: Acute Correction and IM Nail Fixation
Pages 127-130
Case 22: Treatment of Posterior Tibial Nerve Impingement After Tibial Lengthening
Pages 131-136
Case 23: Complex Deformity After PFFD Treatment – Multifocal, Gradual Correction on Femur and Tibia with Monolateral External Fixation
Pages 139-144
Case 24: Complex Four Segment Multiapical Lower Extremity Deformities in Rickets Treated with Fixator Assisted Intramedullary Nailing
Pages 145-152
Case 25: Correction of Windswept Rotational Deformity with Fixator Assisted Plating Technique
Pages 153-159
Case 26: Correction of Valgus-Torsion Deformity of the Femur and Varustorsion Deformity of the Lower Leg Accompanied with LLD
Pages 161-166
Case 27: Correction of Varus Deformity of the Femur and Tibia in Patient with LCL Laxity
Pages 167-173
Case 28: Femoral and Tibial Rotational Deformity Treated with Fixator Assisted Nailing and Gradual Correction with The Taylor Spatial Frame
Pages 175-181
Case 29: Intraoperative SSEP Monitoring of Circular External Fixation in Achondroplasia
Pages 183-189
Case 30: Multiapical Deformity of Knee, Tibia, and Ankle Treated with Osteotomy, Arthrodesis, and Arthroplasty
Pages 191-196
Case 31: Treatment of Complex Deformity of the Lower Extremities in Hypophospatemic Rickets Using a Six-Pod Frame and Fixator Assisted Plating
Pages 197-202
Case 32: Acute Correction of Tibial Deformity and Plate Fixation, with Subsequent Lengthening Over Plate
Pages 205-209
Case 33: Multiapical Deformity Correction in Bilateral Femur and Tibia in Rickets. LATP Technique to Decrease the Time of External Fixator
Pages 211-219
Case 34: Simultaneous Lengthening and Deformity Correction over Customized Intramedullary Locking Nail (LON) for Multidimensional Deformity of the Proximal Tiba
Pages 221-228
Case 35: Acute Correction with Marrow (Intramedullary Canal) Narrowing Technique and Subsequent Lengthening Over Nail for the Femoral Shortening Combined with a Deformity
Pages 229-235
Case 36: Advanced Hip Arthrosis, Massive Perceived LLD and Pelvic Obliquity due to Adduction Contracture Treated with THR
Pages 239-245
Case 37: Ipsilateral Secondary Hip Osteoarthritis and Leg Length Discrepancy: Treated Simultaneously with Total Hip Replacement and Motorized Lengthening
Pages 247-250
Case 38: LLD After Total Hip Replacement Treated with Precice Nail
Pages 251-255
Case 39: Sustained Clinical and Structural Benefit After Five Years Following Joint Distraction in the Treatment of Severe Knee Osteoarthritis
Pages 259-264
Case 40: Neglected Rotatory Knee Dislocation Treated with the Taylor Spatial Frame
Pages 265-269
Case 41: Knee Joint Osteochondral Reconstruction Using Fresh Femoral Head Autograft
Pages 271-277
Case 42: Reconstruction of a Lateral Femoral Condyle Articular Surface Defect with a Fresh Osteochondral Allograft
Pages 279-285
Case 43: Salvage of an Infected Malunion of a Lateral Tibial Plateau with Staged Revision to a Bulk Osteochondral Allograft and Associated Lateral Meniscal Transplant
Pages 287-293
Case 44: Treatment of Severe Knee Joint Stiffness with Soft Tissue Release and External Fixation
Pages 295-299
Case 45: Bilateral Congenital Knee Fusions with Lower Limb Deformities and Coxa Vara Treated with Osteotomies
Pages 303-307
Case 46: Correction of Varus Deformity of the Femur in a Patient with Knee Fusion
Pages 309-313
Case 47: Knee Arthrodesis for Failed Total Knee Arthroplasty
Pages 315-319
Case 48: Knee Fusion and Lengthening for Failed Total Knee Replacement and Bone Loss
Pages 321-324
Case 49: Knee Fusion with Gradual Shortening and Staged Insertion of Antibiotic Coated Intramedullary Nail for Failed Infected Total Knee Arthroplasty
Pages 325-329
Case 50: Staged Revision of a Chronic Infected Ipsilateral THA and TKA Using an Antibiotic Laden PMMA Functional Spacer Incorporating a Knee Fusion Nail
Pages 331-337
Case 51: Acute Shortening and Re-lengthening to Bridge Bone Defects
Pages 341-345
Case 52: Bifocal Staged Bone Transport of a 30 cm Defect Including the Knee Joint
Pages 347-352
Case 53: Cable Technique with a Medial Monorail for Bone Transport and Extended Soft Tissue Access for Reconstruction of More Than 16 cm of Tibial Bone
Pages 353-358
Case 54: Deformity Correction (Tibial Bone Defect due to Osteomyelitis) in Lower Limb Using Taylor Spatial Frame
Pages 359-364
Case 55: Motorized Intramedullary Transport and Lengthening Nail Used to Reconstruct a Nonunion/Bone Defect of the Tibia
Pages 365-370
Case 56: Lengthening of a Very Short Below Knee Amputation Residual Limb to Enhance Prosthetic Wear
Pages 373-378
Case 57: An Initially Successful Lengthening of a Traumatic Below Knee Amputation Stump by Ilizarov Technique with Subsequent Failure Due to Soft Tissue Conditions
Pages 379-383
Case 58: Below Knee Amputation Stump Lengthening
Pages 385-389
Case 59: Femoral Stump (Residual Limb) Lengthening with a Motorized Intramedullary Lengthening Rod
Pages 391-395
Case 60: Post-traumatic Short Femoral Stump Lengthened with a Monolateral External Fixator
Pages 397-400
Tumor: An Introduction
Pages 401-403
Case 61: Deformity Correction (Benign Bone Tumor) in Lower Limb Using Taylor Spatial Frame
Pages 407-413
Case 62: Correction of Long Bone Deformities due to Ollier’s Disease with Ilizarov Method
Pages 415-419
Case 63: Femoral Neck Aneurysmal Bone Cyst Treated with Articulated Distraction and Grafting
Pages 421-426
Case 64: Repair and Lengthening After Nonunion of Free Vascularized Fibula Graft for Reconstruction of Osteosarcoma of the Tibia
Pages 429-435
Case 65: Distraction Epiphysiolysis Prior to Resection of a Malignant Bone Tumor (Osteosarcoma)
Pages 437-442
Case 66: Reconstruction of a Bone Defect (Malignant Bone Tumor) in the Diaphyseal Tibia Using Circular External Fixator with Trifocal Bone Transport (Distraction Osteogenesis)
Pages 443-448
Case 67: Reconstruction of a Bone Defect (Malignant Bone Tumor) in the Proximal Humerus Using Vascularized Fibular Grafting
Pages 449-457
Case 68: Reconstruction of a Bone Defect (Malignant Bone Tumor) in the Proximal Tibia Using a Frozen Autograft
Pages 459-467
Case 69: Reconstruction of a Bone Defect (Malignant Bone Tumor) in the Proximal Tibia Using Taylor Spatial Frame (Distraction Osteogenesis)
Pages 469-477
Case 70: Reconstruction of a Bone Defect (Malignant Bone Tumor) in the Proxial Tibia Using a Hemicortical Frozen Autograft
Pages 479-487
Case 71: Reconstruction of a 22 cm Femur Bone Defect with Transport Over Nail and Cable Technique
Pages 489-496
Case 72: Reconstruction of a Bone Defect, Following Resection of Chondrosarcoma in the Distal Forearm by Segment Transport Over Nail Technique Using Uniplanar Fixator
Pages 497-502
Case 73: Pathologic Femur Fracture Close to Distal Femoral Physis
Pages 503-506
Case 74: Oncologic Defects: Reconstruction Following Initial Treatment Failure
Pages 509-514
Case 75: Failed Allograft Reconstruction (Nonunion) for Malignant Bone
Pages 515-520
Case 76: Staged Reconstruction of a Failed Modular Knee Tumor Prosthesis
Pages 521-530
Case 77: Reconstruction of Failed Allograft Reconstruction with Combined Technique (Low-Grade Osteosarcoma)
Pages 531-536
Case 78: Tibio-Talar Fusion to Treat Bone Defect and Ankle Arthritis Following Treatment of a Distal Tibial Giant Cell Tumour
Pages 539-546
Case 79: Combined Technique for Simultaneous Reconstruction of Ankle Instability and Tibial Lengthening Following Sacrifice of the Sciatic Nerve
Pages 547-552
Upper Extremity: An Introduction
Pages 553-553
Case 80: Humeral Deformity Secondary to Ollier Disease – Angular Correction and Lengthening with a Taylor Spatial Frame
Pages 557-562
Case 81: Humeral Lengthening and Deformity Correction in Ollier’s Disease: Distraction Osteogenesis with a Multiaxial Correction Frame
Pages 563-568
Case 82: Humeral Lengthening for Septic Growth Arrest
Pages 569-573
Case 83: Adolescent with 15 cm Humeral Shortening from Osteomyelitis Treated by Humeral Lengthening via Circular External Fixation
Pages 575-582
Case 84: Humeral Lengthening in Erb's Palsy
Pages 583-588
Case 85: Deformity of the Humerus in a Four Year Old Boy with Osteogenesis Imperfecta
Pages 589-592
Case 86: Humeral Lengthening with a Motorized Intramedullary Lengthening Nail
Pages 593-598
Case 87: Varus and Shortening of the Proximal Humerus
Pages 599-606
Case 88: Arthrogryposis Elbow Extension Contracture
Pages 609-612
Case 89: Radial Clubhand
Pages 613-617
Case 90: Radial Clubhand Correction with Radius Lengthening Using the Ilizarov/TSF
Pages 619-623
Case 91: Ulnarization as Treatment for Radial Clubhand (RCH)
Pages 625-630
Case 92: Congenital Malformation of the Upper Limb (Ulnar Clubhand) in a 6 Year Old Child Treated by Lengthening Associated with Flexible Intramedullary Nailing
Pages 631-635
Case 93: Correction of Forearm by Corrective Radial Osteotomy and Ulnar Lengthening by Distraction Osteogenesis Deformity in Hereditary Multiple Osteochondromatosis
Pages 637-643
Case 94: Correction of Forearm Deformities in Herediatry Multiple Exostosis (MHE)
Pages 645-649
Case 95: Cubitus Varus Deformity due to Multiple Hereditary Exostosis Treated with Ulnar Lengthening and Closed Radio-Capitulum Reduction
Pages 651-656
Case 96: Multiple Hereditary Exostoses: Forearm Deformities
Pages 657-666
Case 97: Forearm Deformity in a Fourteen-Year-Old Boy with Osteogenesis Imperfecta
Pages 667-670
Case 98: Bilateral Metacarpal Lengthening for Congenital Brachymetcarpia
Pages 673-679
Case 99: Mangled Upper Extremity Salvaged with Spatial Frame, Skin Grafts, Radial Lengthening, and Wrist Fusion
Pages 683-688
Case 100: Reconstruction of the Elbow After Gunshot Injury with Dynamic Articulated Frame
Pages 689-696
Case 101: Mangled Upper Extremity Salvaged with Spatial Frame, Skin Grafts, Wrist Fusion and Transfer of FCR to EDC
Pages 697-702
Case 102: Fracture of the Humerus Treated Initially with a Flexible Intramedullary Nail and Later Converted to Circular External Fixation due to Non-union
Pages 703-709
Case 103: Humerus Nonunion Treated with Fixator Augmented Rod Technique
Pages 711-714
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