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Trauma: 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 foot and ankle as well as orthopedic trauma, from foot and ankle fusions and clubfoot correction to femoral and tibial reconstruction. Each of the unique cases includes color photographs and radiographs from before, during and after surgery and will follow 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.
Trauma: An Introduction
Pages 1-1
Case 1: Masquelet Reconstruction Distal Femoral Segmental Defect After 3A Open Fracture
Pages 5-11
Case 2: 40 Degree Femoral Procurvatum Deformity Treated with Internal Fixation
Pages 13-17
Case 3: Treatment of Post-traumatic Shortening of Subtrochanteric Femur Combined with Malalignment and Nonunion Using Intramedullary Lengthening Nail
Pages 19-24
Case 4: Computer Assisted External Fixation at Femur Malunion Accompanied with Complex Deformity
Pages 25-30
Case 5: Computer Assisted External Fixation at Femur Two-Level Posttraumatic Complex Deformity
Pages 31-38
Case 6: A 10 cm Traumatic Femoral Defect Treated with a Transport Technique Followed by a Lengthening Procedure. Sequential Use of a Monotube External Fixator and an Intramedullary Rod
Pages 39-44
Case 7: A 12 cm Traumatic Femoral Defect Treated with a Long Oblique Diaphyseal Femoral Osteotomy and Lengthening Over a Nail
Pages 45-50
Case 8: Femoral Bone Defect
Pages 51-55
Case 9: Limb Salvage After Massive Traumatic Femoral Bone Loss
Pages 57-63
Case 10: Infected Nonunion of the Tibia
Pages 67-72
Case 11: Bone Transport Over a Nail for Infected Tibial Nonunion and Bone Defect
Pages 73-78
Case 12: Open IIIB Tibia Fracture, Severely Contaminated, Treated with Ilizarov
Pages 79-88
Case 13: Trifocal Tandem Transport for Proximal Tibial Bone Defect and Fracture Dislocation of the Knee
Pages 89-95
Case 14: Double Level Bone Transport for Severe Bone Loss
Pages 97-105
Case 15: Bifocal Tibial Transport with the TSF
Pages 107-113
Case 16: Acute Shortening and Then Lengthening
Pages 115-121
Case 17: Tibial Atrophic Nonunion with Deformity and 4 cm LLD
Pages 123-127
Case 18: Tibial Nonunion with Angular Deformity Treated with Taylor Spatial Frame to Gradually Correct and Lengthen
Pages 129-132
Case 19: Hypertrophic Tibial Nonunion with Oblique Plane Deformity Treated with TSF
Pages 133-139
Case 20: Distraction of Hypertrophic Nonunion
Pages 141-145
Case 21: Computer Assisted External Fixation and then Nailing at Both Lower Legs Non-unions Accompanied with Complex Deformities
Pages 147-154
Case 22: Bone Transport to a Knee Fusion and Secondary Intramedullary Nailing s/p Gunshot Wound
Pages 155-161
Case 23: Gunshot Tibia Fracture
Pages 163-168
Case 24: Ilizarov Method Extremity Solution for Severe Damage. Obtain Bone and Soft Tissues Stability
Pages 169-175
Case 25: Posttraumatic Absence of the Lower Half of the Tibia
Pages 177-180
Case 26: Plating After Lengthening
Pages 181-187
Case 27: Induced Angular Deformity and Acute Shortening for Primary Wound Closure in a IIIB Open Proximal Tibia Fracture
Pages 191-196
Case 28: Proximal Tibial Bone Defect Treated with Intentional Deformity and Bone Transport
Pages 197-202
Case 29: Infected Nonunion Tibia with Bone and Soft-Tissue Defect: Treatment with TSF, Intentional Temporary Deformation and Bone Transport
Pages 203-208
Case 30: C3.3 Pilon Fracture Closed. Ilizarov Fixation with Limited Open Reduction of Joint Surface and Distal Tibia Bridging Distraction of Ankle Joint
Pages 211-217
Case 31: GIII B Open Pilon Fracture. Spacer, Flap, and 13.5 Centimeter Bone Transport to Ankle Arthrodesis (Delayed Arthrodesis Secondary to Large Bone Loss Including Ankle Plafond)
Pages 219-226
Case 32: GIII B Pilon Fracture with Segmental Bone Loss
Pages 227-234
Case 33: IIIB Segmental Open Tibial Plafond Fracture Treated with Ankle Joint Salvage and Bone Transport
Pages 235-240
Case 34: Spatial Frame Correction of an Infected Distal Metaphyseal Tibial Nonunion/Malunion
Pages 241-245
Case 35: Periarticular Distal Tibial Infected Nonunion, Ankle Salvage with Bone Transport
Pages 247-254
Case 36: Distal Tibial Bone Defect Treated with Bone Transport Using Two Proximal Osteotomy Sites
Pages 255-259
Case 37: Hypertrophic Nonunion Distal Periarticular Tibia. Treatment with Callus Distraction Using a Spatial Frame
Pages 261-266
Case 38: Impaired Joint Motion During and After Callus Distraction
Pages 267-273
Foot and Ankle: An Introduction
Pages 275-275
Case 39: Ilizarov Ankle Fusion
Pages 279-286
Case 40: Acute Shortening and Arthrodesis Technique in Severe Irreparable Tibial Pilon Fracture
Pages 287-293
Case 41: Ankle Arthrodesis with Tibial Lengthening for Failed Pilon Fracture
Pages 295-299
Case 42: Traumatic Loss of the Talus. Tibial Calcaneal Arthrodesis with Proximal Tibia Lengthening
Pages 301-306
Case 43: Circular Fixator Assisted Foot Reconstruction of a Severe Bone and Soft Tissue Landmine Injury
Pages 307-312
Case 44: Complex Ankle Fusion and Tibial Lengthening Using the LATN Technique
Pages 313-319
Case 45: Ankle Fusion and Tibial Lengthening (LATN Technique) for Failed Ankle Replacement
Pages 321-326
Case 46: Failed TAR: Conversion to Ankle Fusion with Tibial Lengthening
Pages 327-331
Case 47: Recalcitrant Ankle Arthrodesis Nonunion with Infection Treated with Antibiotic Cement-Coated Rod
Pages 333-338
Case 48: Salvage of Infected Tibio Talo Calcaneal Fusion
Pages 339-345
Case 49: Ankle Distraction
Pages 349-357
Case 50: Ankle Distraction for Arthrosis Using the SBI RingFIX
Pages 359-363
Case 51: Fourteen Years of Beneficial Effects Following a Three Months 5 mm Distraction of an Osteoarthritic Ankle Joint Due to Trauma in a 45 Year Old Man
Pages 365-369
Case 52: Ankle Distraction and Supramalleolar Osteotomy for Arthrosis and Deformity
Pages 373-378
Case 53: Supramalleolar Osteotomy with Ankle Distraction
Pages 379-384
Case 54: Gradual Correction of Distal Tibia Malunion (Varus with Shortening)
Pages 385-389
Case 55: Supramalleolar Dome Osteotomy for Malunion of the Tibia
Pages 391-396
Case 56: Gradual Correction of Malunited Ankle Arthrodesis with the Taylor Spatial Frame
Pages 397-403
Case 57: Charcot Foot with Chronic Osteomyelitis and Lateral Sub-talar Dislocation
Pages 407-412
Case 58: Charcot Foot with Dynamic Varus Deformity
Pages 413-419
Case 59: Charcot Reconstruction with External Fixation
Pages 421-427
Case 60: Charcot Reconstruction with Intramedullary Foot Fixation
Pages 429-435
Case 61: Older Clubfoot with Osteotomy Treated with MAC External Fixator
Pages 439-444
Case 62: Older Clubfoot Without Osteotomy Treated with MAC External Fixator
Pages 445-448
Case 63: Residual Clubfoot: Equinovarus Deformity/Knee Valgus/Limb Length Discrepancy
Pages 449-454
Case 64: Gradual Soft Tissue Correction of Equinus and Cavus Deformities Caused by Arthrogryposis
Pages 455-462
Case 65: Closed Correction of Club Foot with Ilizarov
Pages 463-471
Case 66: Correction of Untreated Severe Talipesequino-Cavovarus Deformity in Both Feet by Transverse Talo-Calcaneal Osteotomy and Gradual Soft Tissue Lengthening by Using an Ilizarov Ring Fixator
Pages 473-478
Case 67: Clubfoot Sequela Treated with a Multilevel, Hexapod, External Fixator
Pages 479-483
Case 68: CMT Foot Deformity Treated with TSF Butt Frame
Pages 485-490
Case 69: Complex Foot Deformity Correction Using V-Shaped Osteotomy and Software-Based Hexapod
Pages 491-497
Case 70: Untreated Clubfoot
Pages 499-502
Case 71: V Osteotomy of the Foot
Pages 503-514
Case 72: Two-Stage Complex Foot Deformity Correction
Pages 515-521
Case 73: Correction of the Congenital Midfoot Deformity with Osteotomy
Pages 523-529
Case 74: Equinovarus Contracture of Ankle Treated with Soft Tissue Release and Gradual Correction with Taylor Spatial Frame
Pages 531-535
Case 75: Ilizarov Correction Ankle Equinus due to Neuropathy
Pages 537-542
Case 76: Equinus Contracture Correction with External Fixation
Pages 543-547
Case 77: Calcaneal Osteotomy for Correction of Post-traumatic Deformity
Pages 549-553
Case 78: Two-Stage Treatment of a Chronic Foot Dislocation
Pages 555-560
Case 79: Brachymetatarsia: Distraction Osteogenesis
Pages 563-570
Case 80: Metatarsal Lengthening
Pages 571-574
Case 81: First MTP Joint Distraction
Pages 575-580
Case 82: Salvage of First Ray with Sever Hallux Valgus, Gout, and Osteomyelitis
Pages 581-586
Case 83: Salvage of Metatarsal Lengthening Nonunion with Structural Iliac Crest Autograft
Pages 587-590
Case 84: Lapidus Fusion with External Fixation
Pages 591-596
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