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. Supplyin
Written in an accessible and instructive format, this richly illustrated text covers the analysis, planning, and treatment of lower limb deformities, with a view to teaching deformity correction. A foundation of understanding normal alignment is presented, using new nomenclature that is easy to remember and can even be derived without memorization. The work offers detailed information on deformities and malalignment, radiographic assessment, mechanical and anatomic axis planning, osteotomies, and hardware considerations. The part dealing with planning is further facilitated via an exercise workbook and an animated CD-ROM which is available separately. The methods taught are simple and intuitive.
Consisting of case studies contributed by both domestic and international leaders in the field, Limb Lengthening and Reconstruction: A Case-Based Atlas will be an invaluable resource for all orthopedic surgeons and researchers and practitioners of limb lengthening, deformity correction and the Ilizarov method. Comprehensive yet accessible, it will cover pediatrics, foot and ankle, trauma and post-traumatic reconstruction, adult deformity, tumor and upper extremity interventions in dedicated sections. Each of the more than 150 unique cases will include 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 will be featured, including external fixation, internal fixation, combination approaches and fully implantable limb lengthening nails. This case-based approach will be an efficient and thorough way to learn this exciting new frontier in orthopedic surgery.
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.
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.
For more than 30 years, we have taught limb correction surgery at the annual Baltimore Limb Deformity Course (www.DeformityCourse.com). We have used these hands-on experiences with our students to guide us when creating this book. The Art of Limb Alignment is a concise guide for beginners starting on their journey to master the art of limb alignment. Understanding limb alignment and malalignment is a critical task for surgeons who treat lower extremity deformities. The first task is to characterize the deformity: Is the bone angulated? In what direction is the bone angulated? What is the level of the deformity? Where is the apex of the deformity? What is the magnitude of the deformity? Is the bone short? Is it rotated on its axis? All these questions must be answered before correcting the problem. In Chapter 10 of this tenth edition, digital planning software (Bone Ninja app, available as an iPad app teaching tool through the App Store) is used to show the reverse planning method for femoral deformity. Reverse planning using manual methods was introduced by Rainer Baumgart in 2009. In a normal femur, the anatomic and mechanical axes deviate from each other by 5˚ to 7˚. By using reverse planning to "begin with the end in mind," the surgeon will minimize risk of unwanted mechanical axis deviation secondary this anatomic-mechanical axis divergence. In Chapter 13, the principles of MAP the ABCs are applied to common conditions seen in foot and ankle deformities. Foot and ankle deformity correction can be challenging to treat due to the compensation from the joints within the foot. This chapter shows step-by-step analysis and correction of four deformities: a pes planus foot with hallux valgus, cavus foot, rockerbottom midfoot, and ankle varus malunion. The Art of Limb Alignment is intentionally short, concise, and we hope, easy to master. The theme is that of student and teacher (sensei) embarking on a voyage to master the art of limb alignment. Enjoy the journey!
This volume deals with the transosseous external fixation techniques that I have been developing over the course of the past 40 years. During this time, our research in medicine, biology and engineering has led to the evolution of more than 800 unique, highly effective methods of treatment that extend beyond the realm of traumatology and orthopedics. The book features a comprehensive theoretical and clinical description of the biologic laws governing the depen dence of the shape-forming processes of bones and joints upon the adequacy of blood supply, as well as a delineation of the effect of tension-stress upon the genesis and growth of tissues. I have in cluded our latest data on tissue growth and regeneration during transosseous osteosyntheses. The book summarizes the biomechanical principles of applica tion of my apparatus; clinical cases selected from more than 25000 patients illustrate the management of some of the most complex disorders of the locomotor system. New solutions to many therapeutic problems are described. In particular, severe limb trauma with large defects of bone, vessels, nerves and skin can be managed without resort to transplantation. Radical debridement surgery can be followed by a one-step restora tion of the missing tissue, thus decreasing the likelihood of a serious wound infection or an amputation.
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.
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.
Who's Who in Orthopedics gives an accurate account of people who were pioneers in the orthopedic world. This is a highly readable text, source of the inspirational and authoritative whose interesting lives and contributions make a comprehensive list of the great and the good in this field. A text for everyone with an interest in orthopedics, namely orthopedic surgeons and trainees, family physicians, medical students, physiotherapists and nurses and other health care workers who deal with orthopedic patients.
