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Bone elongation using monolateral external fixation: a practical guide.

Salcedo Cánovas C - Strategies Trauma Limb Reconstr (2015)

Bottom Line: In the literature, we can find many articles that describe in detail specific complex procedures related to the limb reconstruction.These articles also come from a period in which the callotasis technique was being developed and, therefore, incur in discrepancies depending on the year they were written or the school of the author.This paper provides a general and summarised overview of the theoretical and practical aspects interesting to a surgeon that needs clear information on the bone elongations performed with the help of a monolateral external fixator.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medicine, Unit of Paediatric Orthopaedic Surgery and Traumatology, CSUR - Spanish Reference Unit of the Spanish Health System, University Hospital "Virgen de la Arrixaca", University of Murcia, Plaza de Fontes, 4. 3º C, Murcia, Spain. cesalcan@yahoo.es.

ABSTRACT
In the literature, we can find many articles that describe in detail specific complex procedures related to the limb reconstruction. However, the general information on the biological and mechanical bases of callotasis is out of date, and the surgeons must relate to works dating from the early 1980s. These articles also come from a period in which the callotasis technique was being developed and, therefore, incur in discrepancies depending on the year they were written or the school of the author. This paper provides a general and summarised overview of the theoretical and practical aspects interesting to a surgeon that needs clear information on the bone elongations performed with the help of a monolateral external fixator.

No MeSH data available.


a Syndesmotic screw, b locations for the most proximal and distal screws, c insertion of the screws, d osteotomy, e end of surgery
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Fig8: a Syndesmotic screw, b locations for the most proximal and distal screws, c insertion of the screws, d osteotomy, e end of surgery

Mentions: The medial positioning of the fixator would give high stability, although it would be uncomfortable for the patient to walk, because the assembly would interfere with the contralateral tibia. To avoid this, we often opt for an anteromedial application, which provides sufficient stability and prevents the patient’s discomfort (Fig. 8). Some authors recommend the anterior placement, stating that the aforementioned configurations favour valgus deformities [6]. Combining an anterior placement with the use of a T-Garches swivel clamp, we can correct malalignments during the treatment without additional surgeries [5].


Bone elongation using monolateral external fixation: a practical guide.

Salcedo Cánovas C - Strategies Trauma Limb Reconstr (2015)

a Syndesmotic screw, b locations for the most proximal and distal screws, c insertion of the screws, d osteotomy, e end of surgery
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4666227&req=5

Fig8: a Syndesmotic screw, b locations for the most proximal and distal screws, c insertion of the screws, d osteotomy, e end of surgery
Mentions: The medial positioning of the fixator would give high stability, although it would be uncomfortable for the patient to walk, because the assembly would interfere with the contralateral tibia. To avoid this, we often opt for an anteromedial application, which provides sufficient stability and prevents the patient’s discomfort (Fig. 8). Some authors recommend the anterior placement, stating that the aforementioned configurations favour valgus deformities [6]. Combining an anterior placement with the use of a T-Garches swivel clamp, we can correct malalignments during the treatment without additional surgeries [5].

Bottom Line: In the literature, we can find many articles that describe in detail specific complex procedures related to the limb reconstruction.These articles also come from a period in which the callotasis technique was being developed and, therefore, incur in discrepancies depending on the year they were written or the school of the author.This paper provides a general and summarised overview of the theoretical and practical aspects interesting to a surgeon that needs clear information on the bone elongations performed with the help of a monolateral external fixator.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medicine, Unit of Paediatric Orthopaedic Surgery and Traumatology, CSUR - Spanish Reference Unit of the Spanish Health System, University Hospital "Virgen de la Arrixaca", University of Murcia, Plaza de Fontes, 4. 3º C, Murcia, Spain. cesalcan@yahoo.es.

ABSTRACT
In the literature, we can find many articles that describe in detail specific complex procedures related to the limb reconstruction. However, the general information on the biological and mechanical bases of callotasis is out of date, and the surgeons must relate to works dating from the early 1980s. These articles also come from a period in which the callotasis technique was being developed and, therefore, incur in discrepancies depending on the year they were written or the school of the author. This paper provides a general and summarised overview of the theoretical and practical aspects interesting to a surgeon that needs clear information on the bone elongations performed with the help of a monolateral external fixator.

No MeSH data available.