Because of fresh advances in surgical strategies and implant expertise it truly is now attainable to accomplish limb reconstruction in sufferers with various congenital, posttraumatic, and postinfection pathologies. This ebook is a transparent, useful consultant to the state of the art surgeries hired in limb reconstruction for various stipulations. It comprises particular descriptions of the ideas themselves, observed by means of a variety of invaluable drawings and images. Pearls and pitfalls are highlighted, and thorough suggestion is usually supplied on symptoms, preoperative making plans, and postoperative follow-up. The editors have conscientiously chosen the participants in keeping with their services, and plenty of of the authors have been themselves accountable for constructing the options that they describe.
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Additional info for Advanced Techniques in Limb Reconstruction Surgery
E. Herzenberg et al. 30 Fig. 6 Postoperative Care 1. Problems • Infections are common. Most are pin site infections that seldom become osteomyelitis. Oral antibiotics usually suffice. Serious cases do occur. Toxic shock syndrome and necrotizing fasciitis have been reported. These patients present ill, with loss of External fixator removed appetite, decreased activity, and febrile. A diffuse rash may be present with toxic shock syndrome. Urgent attention is required, with urgent and aggressive resuscitation and initiation of empiric intravenous antibiotics.
4 (continued) i j Nail inserted External fixation added then locked proximally k l 1 Lengthening over Nails (LON): Femur and Tibia 25 m n o Tibia and fibula gradually lengthened Nail locked in place distally External fixation removed Fig. E. Herzenberg et al. 26 a b Fig. 5 A 17-year-old boy with 3 cm tibial discrepancy on the basis of clubfoot pathology. (a) Preoperative erect legs standing view (no lift). (b) Immediate postoperative view with nail/fixator in place, spanning across the ankle to prevent equinus.
If needed, additional interference screws may be inserted to increase stability. 39 Fig. 14 Lateral x-ray of a femur following FAN procedure depicting usage of a tibial nail to help correct sagittal plane deformity The external fixator is removed at the end of the surgery, and the incisions are closed primarily. 4 FAN for Tibial Deformity Two pairs of half pins perpendicular to the anatomic axis of the tibia are inserted distally and proximally (Figs. 16). In the sagittal plane, it is crucial that the Schanz screws avoid any contact with the intramedullary nail.
Advanced Techniques in Limb Reconstruction Surgery