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Use of Ilizarov fixator Hexapod apparatus for fracture prox tibia
- 1. Center for Limb Lengthening & Reconstruction, Mumbai Hexapod Assisted Correction Dr Mangal Parihar 1
- 2. Center for Limb Lengthening & Reconstruction, Mumbai Hexapod Assisted Fracture Reduction • 48 Year Male • Vehicular Accident • 2 weeks Post Injury • Comminuted Compound TypeVI Schatzker Fracture 2
- 3. Center for Limb Lengthening & Reconstruction, Mumbai Preop Xrays 3
- 4. Center for Limb Lengthening & Reconstruction, Mumbai 3D CT Pictures 4
- 5. Center for Limb Lengthening & Reconstruction, Mumbai 5
- 6. Center for Limb Lengthening & Reconstruction, Mumbai Problem List • Wound • Intra-articular Comminution • Maintain vascularity of bone fragments • Stable fixation 6
- 7. Center for Limb Lengthening & Reconstruction, Mumbai Steps • Indirect Intra-articular Reduction • Raft Screw • Ilizarov Fixator Application • Hexapod Assisted Correction • Mobilization • Wound Management 7
- 8. Center for Limb Lengthening & Reconstruction, Mumbai Carm Pictures of Intra- articular reduction 8
- 9. Center for Limb Lengthening & Reconstruction, Mumbai Elevation of Depressed Lateral Condyle 9
- 10. Center for Limb Lengthening & Reconstruction, Mumbai 10
- 11. Center for Limb Lengthening & Reconstruction, Mumbai 11
- 12. Center for Limb Lengthening & Reconstruction, Mumbai Reduction Achieved 12
- 13. Center for Limb Lengthening & Reconstruction, Mumbai Raft Screw 13
- 14. Center for Limb Lengthening & Reconstruction, Mumbai Genex Instillation 14
- 15. Center for Limb Lengthening & Reconstruction, Mumbai Ilizarov Fixator 15
- 16. Center for Limb Lengthening & Reconstruction, Mumbai Hexapod Calculations • Distraction • Angulation • Anterior Translation 16
- 17. Center for Limb Lengthening & Reconstruction, Mumbai Distraction Lateral & Anterior Translation 17
- 18. Center for Limb Lengthening & Reconstruction, Mumbai 10 Days 18 Lateral & Anterior Translation Compression
- 19. Center for Limb Lengthening & Reconstruction, Mumbai 12 Days 19
- 20. Center for Limb Lengthening & Reconstruction, Mumbai 20
- 21. Center for Limb Lengthening & Reconstruction, Mumbai Conversion To Straight Rods 21
- 22. Center for Limb Lengthening & Reconstruction, Mumbai 2.5 Weeks Post Surgery 22
- 23. Center for Limb Lengthening & Reconstruction, Mumbai 2.5 Weeks Post Surgery • 3 wires in prox fragment • 1 wire and 1 schanz screw in the middle & distal ring 23
- 24. Center for Limb Lengthening & Reconstruction, Mumbai
- 25. Center for Limb Lengthening & Reconstruction, Mumbai Incisions 25
- 26. Center for Limb Lengthening & Reconstruction, Mumbai Evolution Of Wound Over 3 weeks 26
- 27. Center for Limb Lengthening & Reconstruction, Mumbai 5 Months - AP 27
- 28. Center for Limb Lengthening & Reconstruction, Mumbai 5 Months - Lat 28
- 29. Center for Limb Lengthening & Reconstruction, Mumbai Post Fixator Removal 29
- 30. Center for Limb Lengthening & Reconstruction, Mumbai 30
- 31. Center for Limb Lengthening & Reconstruction, Mumbai Scars 31
- 32. Center for Limb Lengthening & Reconstruction, Mumbai Function 32
- 33. Center for Limb Lengthening & Reconstruction, Mumbai Function at 1 Year 33
- 34. Center for Limb Lengthening & Reconstruction, Mumbai Xrays At 1 Year 34
- 35. Center for Limb Lengthening & Reconstruction, Mumbai www.ilizarov.in 35