use of ilizarov fixator hexapod apparatus for fracture prox tibia

$: Use of Ilizarov fixator Hexapod apparatus for fracture prox tibia$
Center for Limb Lengthening & Reconstruction, Mumbai

Hexapod Assisted Correction

Dr Mangal Parihar

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Hexapod Assisted Fracture

Reduction

• 48 Year Male

• Vehicular Accident

• 2 weeks Post Injury

• Comminuted Compound

TypeVI Schatzker Fracture

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Preop Xrays

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3D CT Pictures

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Center for Limb Lengthening & Reconstruction, Mumbai 5


Problem List

• Wound

• Intra-articular Comminution

• Maintain vascularity of bone fragments

• Stable fixation

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Steps

• Indirect Intra-articular Reduction

• Raft Screw

• Ilizarov Fixator Application

• Hexapod Assisted Correction

• Mobilization

• Wound Management

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Carm Pictures of Intra-

articular reduction

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Elevation of Depressed Lateral

Condyle

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Reduction Achieved

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Raft Screw

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Genex Instillation

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Ilizarov Fixator

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Hexapod Calculations

• Distraction

• Angulation

• Anterior Translation

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Distraction

Lateral & Anterior Translation

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10 Days

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Lateral & Anterior Translation

Compression


12 Days

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Conversion To Straight Rods

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2.5 Weeks Post Surgery

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2.5 Weeks Post Surgery

• 3 wires in proxfragment

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

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Incisions

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Evolution Of Wound Over 3

weeks

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5 Months - AP

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5 Months - Lat

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Post Fixator Removal

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Scars

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Function

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Function at 1 Year

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Xrays At 1 Year

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www.ilizarov.in

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http://www.ilizarov.in

use of ilizarov fixator hexapod apparatus for fracture prox tibia

Health & Medicine