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Proximal Tibial Deformity
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Proximal Tibial Deformity |
The excellent bony and functional results following correction of both the sides. |
The deformity in the proximal tibia was corrected using the gradual correction using Ilizarov ring fixator and hinges.
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Distal Femur
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A patient with Hypophosphatemic Rickets, having deformities in both femur (thigh bone) and tibia (leg bone) on both the sides. This is like a wind-swept deformity - valgus alignment on one side and varus alignment on the other.
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When correction is required in both the limbs, we plan the correction of one bone at a time so that patient can continue to walk.
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The rings are applied in a crooked fashion to mimic the bone inside. It is fixed to the bone using wires and threaded pins.
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At the completion of correction the mechanical axis(load bearing axis) has returned to normal. |
High Tibial Osteotomy
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The final result as shown in the clinical pictures, full length x-ray and spot film
of the knee.
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An example of correction
of a uniplanar deformity in the proximal tibia. |
The xray pictures during the gradual distraction process of high tibial osteotomy. |
Uniplanar Deformity Acute Correction
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Oblique Plane Deformity Multi Level
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This patient had a congenital short femur with dysplasia of the hip on right side. |
The picture the on the left shows the profile from the right side. |
The picture on the left shows the composite of intra-operative c-arm pictures.
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These pictures were taken during surgery to correct the oblique plane multilevel deformity.
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This picture was taken during surgery; shows the position of schanz screws in the sagittal plane. |
The appearance in the frontal plane once the varus angulations are corrected and the LRS (Limb Reconstruction System) assembly is completed.
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The appearance in the sagittal plane once the flexion deformity
is corrected and the LRS (Limb Reconstruction System) assembly is completed.
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The final x-ray pictures just before fixator removal (left) and just after fixator removal (right).
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Rotation & Length
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The x-ray picture here shows the antero-posterior projection of pelvis with both the hips and sacro-iliac joints. |
These are the x-ray pictures
of the knee joint.
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The full length x-ray showing
the difference in lengths between
the two limbs. |
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These pictures were take in the operating room for better understanding of the rotational deformity. |
This picture on left shows that the knee has been bent to 90ยบ and the hip has been externally rotated to the maximum extent possible.
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This is how it was done.
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The x-ray picture on the left was taken after the surgery. |
These x-rays show the progress of consolidation |
In this particular case, when the patient was made to walk during the second stage of fixator removal |
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The final x-ray picture 6 weeks after fixator removal |
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