use of ilizarov fixator hexapod apparatus for fracture prox tibia

Center for Limb Lengthening & Reconstruction, Mumbai

Hexapod Assisted Correction

Dr Mangal Parihar

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Center for Limb Lengthening & Reconstruction, Mumbai

Hexapod Assisted Fracture

Reduction

• 48 Year Male

• Vehicular Accident

• 2 weeks Post Injury

• Comminuted Compound

TypeVI Schatzker Fracture

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Center for Limb Lengthening & Reconstruction, Mumbai

Preop Xrays

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Center for Limb Lengthening & Reconstruction, Mumbai

3D CT Pictures

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Center for Limb Lengthening & Reconstruction, Mumbai 5

Center for Limb Lengthening & Reconstruction, Mumbai

Problem List

• Wound

• Intra-articular Comminution

• Maintain vascularity of bone fragments

• Stable fixation

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Center for Limb Lengthening & Reconstruction, Mumbai

Steps

• Indirect Intra-articular Reduction

• Raft Screw

• Ilizarov Fixator Application

• Hexapod Assisted Correction

• Mobilization

• Wound Management

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Center for Limb Lengthening & Reconstruction, Mumbai

Carm Pictures of Intra-

articular reduction

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Center for Limb Lengthening & Reconstruction, Mumbai

Elevation of Depressed Lateral

Condyle

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Center for Limb Lengthening & Reconstruction, Mumbai 10

Center for Limb Lengthening & Reconstruction, Mumbai 11

Center for Limb Lengthening & Reconstruction, Mumbai

Reduction Achieved

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Center for Limb Lengthening & Reconstruction, Mumbai

Raft Screw

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Center for Limb Lengthening & Reconstruction, Mumbai

Genex Instillation

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Center for Limb Lengthening & Reconstruction, Mumbai

Ilizarov Fixator

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Center for Limb Lengthening & Reconstruction, Mumbai

Hexapod Calculations

• Distraction

• Angulation

• Anterior Translation

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Center for Limb Lengthening & Reconstruction, Mumbai

Distraction

Lateral & Anterior Translation

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Center for Limb Lengthening & Reconstruction, Mumbai

10 Days

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Lateral & Anterior Translation

Compression

Center for Limb Lengthening & Reconstruction, Mumbai

12 Days

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Center for Limb Lengthening & Reconstruction, Mumbai 20

Center for Limb Lengthening & Reconstruction, Mumbai

Conversion To Straight Rods

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Center for Limb Lengthening & Reconstruction, Mumbai

2.5 Weeks Post Surgery

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Center for Limb Lengthening & Reconstruction, Mumbai

2.5 Weeks Post Surgery

• 3 wires in proxfragment

• 1 wire and 1 schanzscrew in the middle & distal ring

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Center for Limb Lengthening & Reconstruction, Mumbai

Center for Limb Lengthening & Reconstruction, Mumbai

Incisions

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Center for Limb Lengthening & Reconstruction, Mumbai

Evolution Of Wound Over 3

weeks

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Center for Limb Lengthening & Reconstruction, Mumbai

5 Months - AP

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Center for Limb Lengthening & Reconstruction, Mumbai

5 Months - Lat

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Center for Limb Lengthening & Reconstruction, Mumbai

Post Fixator Removal

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Center for Limb Lengthening & Reconstruction, Mumbai 30

Center for Limb Lengthening & Reconstruction, Mumbai

Scars

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Center for Limb Lengthening & Reconstruction, Mumbai

Function

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Center for Limb Lengthening & Reconstruction, Mumbai

Function at 1 Year

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Center for Limb Lengthening & Reconstruction, Mumbai

Xrays At 1 Year

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Center for Limb Lengthening & Reconstruction, Mumbai

www.ilizarov.in

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