A pre fabricated construct in Ilizarov fixation

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
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Author: Dr L Prakash
Published:
Specialties: Orthopedic Surgery
Schools:
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Basic Info

This is a demonstration of a prefabricated ring construct in a stiff A2 type of tibial hypertrophic non union. The three ring assembly is fabricated one day before surgery. Wires of one plane are passed through all rings after appropriate reduction. Once the frame position is adjusted, the perpendicular wires are passed. An occasional olive wire gives additional stability.

DOI: http://dx.doi.org/10.17797/gfkp1h0lpu

Advanced

Procedure

Ilizarov external all K-wire fixation using a prefabricated construct.

Indications

Non unions.

Contraindications

Patient compliance issues. Inadequate training.

Instrumentation

Setup

No special setup needed. Ordinary clean operating room, regional anasthesia.

Preoperative Workup

X-ray, Stress views, Frame assembly fabrication and trial

Anatomy and Landmarks

Tibial tuberosioty, head of fibula, medial malleolus, lateral malleolus.

Advantages/Disadvantages

Excellent reproducible results. Patient compliance and regular monitoring is essential.

Complications/Risks

pin track infection, neuro vascular injury due to improper pin placement.

Disclosure of Conflicts

pin track infection, neuro vascular injury due to improper pin placement.

Acknowledgements

T.G.Seshadri for Photography

References

The Magic of Ilizarov; Dr L.Prakash CBS Publications New Delhi 2016

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