scholarly journals Limb Deformity Correction Using the Ortho SUV Frame

2021 ◽  
Vol 55 (3) ◽  
Author(s):  
Juanito S. Javier ◽  
Ruel A. Dela Cruz ◽  
Daniel V. Dungca
Keyword(s):  
Medical Records ◽  
Case Series ◽  
Deformity Correction ◽  
Ilizarov Method ◽  
Computer Assisted ◽  
Surgical Removal ◽  
Limb Deformity ◽  
Previous Trauma ◽  
Posterior Translation ◽  
Ilizarov Circular Frame

Background and Objective. Limb deformity in terms of length discrepancy, angular and rotational deformities are amenable to correction using the Ilizarov method. The corrections can be achieved using the Ortho SUV Frame (OSF), a computer assisted six axes external fixator. Previous studies have reported easier and more accurate deformity correction. In this study, we report on our initial experience and treatment outcomes in using this system. Materials and Methods. This study is a case series of patients where the Ilizarov circular frame was applied and which the deformity correction was carried out using the OSF. Success and accuracy in correction, length of time to correct, number of revisions needed and complications were gathered from a review of medical records. Results. Thirty limbs in twenty nine cases were included in this report. Seventy seven percent (23/30) of the deformities were due to previous trauma. The rest were due to Blounts, infection and tumor. Correction in eighty seven percent (26/30) were achieved using the turning schedule provided by the Ortho SUV application software. Three cases required surgical removal of soft tissue interposition before further correction using the software was achieved. One case with posterior translation underwent closed manipulation. In the end all planned deformity corrections were achieved. Complications included pin tract swelling and erythema in 13% and all resolved either with oral antibiotics alone or combined with surgical release of pin sites under local anesthesia. Conclusion. The Ortho SUV is an effective tool to carry out deformity corrections using the Ilizarov method.

scholarly journals Growth rate after limb deformity correction by the Ilizarov method with or without knee joint distraction

2009 ◽  
Vol 80 (3) ◽  
pp. 338-343 ◽  
Author(s):  
Hubert J Oostenbroek ◽  
Ronald Brand ◽  
Peter M van Roermund
Keyword(s):  
Growth Rate ◽  
Knee Joint ◽  
Deformity Correction ◽  
Ilizarov Method ◽  
Limb Deformity ◽  
Joint Distraction

A Staged Approach to Combined Extra-articular Limb Deformity Correction and Total Ankle Arthroplasty for End-Stage Ankle Arthritis

2020 ◽  
pp. 107110072096512
Author(s):  
Jonathan Day ◽  
Peter S. Principe ◽  
Kristin C. Caolo ◽  
Austin T. Fragomen ◽  
S. Robert Rozbruch ◽  
...  
Keyword(s):  
Physical Function ◽  
Patient Reported Outcomes ◽  
Case Series ◽  
Deformity Correction ◽  
Limb Length Discrepancy ◽  
Genu Varum ◽  
Limb Deformity ◽  
Patient Reported ◽  
Staged Approach ◽  
End Stage

Background: Patients presenting with end-stage ankle osteoarthritis (OA) in the setting of a concomitant extra-articular limb deformity pose a challenging problem that has not yet been described in the literature. We describe a case series of patients treated with external and internal fixation techniques followed by total ankle arthroplasty (TAA) in a staged approach to treat this complex presentation. Methods: Eight patients with limb deformity and end-stage ankle OA who underwent staged deformity correction and TAA from 2016 to 2019 at our institution were retrospectively identified. Average age was 58.5 (range, 49-68) years, with an average follow-up of 2.6 (range, 0.8-4.2) years. All patients underwent limb reconstruction with either tibial osteotomy with a circular frame (n=6) or intramedullary nail (n=2). Limb deformities consisted of the following: posttraumatic tibial malunion (2), limb length discrepancy (1), acquired tibial deformity (1), genu varum (2), or genu valgum (2). Radiographic parameters were assessed pre- and postoperatively on 51-inch standing and ankle radiographs: limb length discrepancy (LLD), genu varum/valgum deformity, recurvatum deformity, mechanical axis deviation, medial proximal tibial angle, lateral distal tibial angle, anterior distal tibial angle, and tibiotalar alignment. Pre- and postoperative patient-reported outcomes were assessed using 2 metrics, the Limb Deformity–Scoliosis Research Society (LD-SRS) and Patient-Reported Outcomes Measurement Information System (PROMIS) scores (Physical Function, Pain Intensity, Pain Interference, Global Physical Function, and Global Mental Function). Results: Following staged limb deformity correction and TAA, all patients achieved correction of LLD and angular deformities of the lower limb, along with restoration of normal alignment of the ankle joint. There was significant mean improvement in all patient-reported LD-SRS and PROMIS domains, except for LD-SRS mental health. LD-SRS function improved from 2.6 (±0.7) to 4.6 (±0.2), P = .008; pain improved from 2.9 (±0.9) to 4.8 (±0.2), P = .012; self-image improved from 2.9 (±0.4) to 4.7 (±0.3), P < .001; and total LD-SRS improved from 3.3 (±0.4) to 4.8 (±0.2), P = .002. Average satisfaction was 4.9 (±0.3). PROMIS physical function improved from 32.3 (±6.8) to 51.3 (±5.3), P = .008; pain interference improved from 66.0 (±9.1) to 41.3 (±6.2), P = .004; pain intensity improved from 60.0 (±13.3) to 33.1 (±5.3), P = .007; global physical health improved from 39.3 (±6.8) to 60.7 (±5.1), P = .002; global mental health improved from 54.8 (±5.9) to 65.6 (±2.8), P = .007. There was one incidence of pin site infection and one reoperation. Conclusion: Deformity correction with either external frame or intramedullary nail fixation followed by TAA in a staged approach was a viable surgical option in the treatment of end-stage ankle OA with concurrent extra-articular limb deformity. This unique approach was capable of achieving deformity correction with improved patient-reported outcomes, minimal complications, and good patient satisfaction. Level of Evidence: Level IV, retrospective case series.

Computer-Assisted Surgery Planning for Lower Extremity Deformity Correction by the Ilizarov Method

1995 ◽  
Vol 1 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Hong Lin ◽  
John G. Birch ◽  
Mikhail L. Samchukov ◽  
Richard B. Ashman
Keyword(s):  
Lower Extremity ◽  
Deformity Correction ◽  
Computer Assisted Surgery ◽  
Ilizarov Method ◽  
Computer Assisted ◽  
Surgery Planning

scholarly journals LOWER LEG DEFORMITY CORRECTION USING ILIZAROV DEVICE IN DR SOETOMO GENERAL HOSPITAL SURABAYA: A CASE SERIES

2019 ◽  
Vol 7 (1) ◽  
pp. 85
Author(s):  
Jeffry Andrianus ◽  
Citra Ahdi Prasetya
Keyword(s):  
General Hospital ◽  
Promising Result ◽  
Case Series ◽  
Deformity Correction ◽  
Lower Leg ◽  
Bone Transport ◽  
Treatment Result ◽  
Bone Lengthening ◽  
Limb Deformity ◽  
Gradual Correction

Background: limb deformity, especially lower leg deformity is a common case in orthopaedic practice. Limb deformity can be classified according to cause (Congenital, developmental, post trauma), geometry (angulation, rotation, shortening), severity and progression. In severe and complex deformity, the treatment choice is gradual correction using Ilizarov system. Benefit of the gradual correction using Ilizarov system are: (1) reduce the risk of neurovascular injury, (2) minimal soft tissue disturbance, (3) multiplanar and multidirectional correction.Cases: We have performed 11 deformity correction using ilizarov device during january 2013- September 2017. Evaluation data was obtained retrospectively from medical record. Nine patients were managed by Ilizarov device for bone lengthening indication and 2 patients for bone transport indication. The treatment result was evaluated using ASAMI scoring system for bone condition and functional condition.Results: Elevent patients were managed by Ilizarov system for gradual deformity correction. Nine patients already finished the treatment and the frame was removed. We cannot evaluate two patients because the correction was not finished. The ilizarov device was changed with other fixation because implant failure during correction phase. Evaluation using ASAMI score showed good bone score result for 9 patients and 7 excellent results for functional score.Conclusion: Ilizarov system has a promising result to correct lower limb deformity patients in Dr Soetomo General Hospital.

scholarly journals Tibial deformity correction by Ilizarov method

2018 ◽  
Vol 4 (2) ◽  
pp. 321
Author(s):  
Robert Sebastian Dias ◽  
J. K. Giriraj Harshavardhan
Keyword(s):  
Case Series ◽  
Deformity Correction ◽  
Ilizarov Method ◽  
Non Union ◽  
Ilizarov Apparatus ◽  
The Mean ◽  
And Function ◽  
Tibial Valgus ◽  
Gradual Distraction ◽  
Different Levels

<p class="abstract"><span lang="EN-IN">The case series illustrates the correction of bony deformities of the tibia through a percutaneous osteotomy and gradual distraction with the Ilizarov apparatus in order to restore shape and function of the lower limb. A total of 13 cases of tibial deformity which were gradually corrected by the Ilizarov method were included in the study. The plane and degree of deformity was calculated by Drorr Paley’s method. The tibial deformity was gradually corrected in all patients by the Ilizarov method. Hinges were appropriately placed usually at the level of deformity (CORA). In most of the cases percutaneous osteotomy was done at the level of CORA. In juxta-articular deformities, hinges were placed at the level of CORA but the osteotomy was done at different levels. The mean tibial varus in 12 patients was 24 degrees (range of 18 to 34 degrees) and one patient had a tibial valgus of 22 degrees which was corrected to restore a 90 degree medial proximal tibial angle. No healing problems in the regenerate except for one probable hypertrophic non-union. None of the patients with a tibial varus developed any neurological deficit or compartment syndrome following correction.</span></p>

Lower limb deformity correction with a simple non-surgical technique

2019 ◽  
Vol 70 (4) ◽  
Author(s):  
Marianna Faggiani ◽  
Selena Desayeux ◽  
Giovanni Martino ◽  
Eraclite Petruccelli ◽  
Alessandro Aprato ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Lower Limb ◽  
Deformity Correction ◽  
Limb Deformity

scholarly journals Cost Analysis With Use of Expandable Cage or Cement in Single level Thoracic Vertebrectomy in Metastasis

2020 ◽  
pp. 219256822097537
Author(s):  
Miki Katzir ◽  
Tarush Rustagi ◽  
Jeffrey Hatef ◽  
Ehud Mendel
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Metastatic Cancer ◽  
Case Series ◽  
Retrospective Case ◽  
Single Level ◽  
Expandable Cage ◽  
Kyphosis Correction ◽  
Survival Differences ◽  
Surgical Cost

Study Design: Retrospective case series. Objective: Patient with metastatic cancer frequently require spinal operations for neural decompression and stabilization, most commonly thoracic vertebrectomy with reconstruction. Objective of the study was to assess economic aspects associated with use of cement versus expandable cage in patients with single level thoracic metastatic disease. We also looked at the differences in the clinical, radiological, complications and survival differences to assess non-inferiority of PMMA over cages. Methods: The electronic medical records of patients undergoing single level thoracic vertebrectomy and reconstruction were reviewed. Two groups were made: PMMA and EC. Totals surgical cost, implant costs was analyzed. We also looked at the clinical/ radiological outcome, complication and survival analysis. Results: 96 patients were identified including 70 one-level resections. For 1-level surgeries, Implant costs for use of cement—$75 compared to $9000 for cages. Overall surgical cost was significantly less for PMMA compared to use of EC. No difference was seen in clinical outcome or complication was seen. We noticed significantly better kyphosis correction in the PMMA group. Conclusions: Polymethylmethacrylate cement offers significant cost advantage for reconstruction after thoracic vertebrectomy. It also allows for better kyphosis correction and comparable clinical outcomes and non-inferior to cages.

First-Ray Radiographic Changes After Flexible Adult Acquired Flatfoot Deformity Correction

2021 ◽  
pp. 107110072110345
Author(s):  
Chien-Shun Wang ◽  
Yun-Hsuan Tzeng ◽  
Tzu-Cheng Yang ◽  
Chun-Cheng Lin ◽  
Ming-Chau Chang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hallux Valgus ◽  
Reconstructive Surgery ◽  
Case Series ◽  
Deformity Correction ◽  
Level Of Evidence ◽  
Factors Affecting ◽  
Radiographic Parameters ◽  
Case Series Study ◽  
Adult Acquired Flatfoot Deformity

Background: Adult acquired flatfoot deformity (AAFD) and hallux valgus (HV) are common foot and ankle deformities. Few studies have reported the changes in radiographic parameters of HV after reconstructive surgery for AAFD. This study aimed to evaluate the changes in radiographic parameters of HV and analyze the risk factors for increased HV after correction of AAFD. Methods: Adult patients with flexible AAFD who underwent similar bony procedures including medializing calcaneal osteotomy and Cotton osteotomy were included. Radiographic parameters were measured on weightbearing radiographs preoperatively, postoperatively, and at the final follow-up. Patients were divided into hallux valgus angle (HVA) increased and HVA nonincreased groups; logistic regression analysis was performed to identify risk factors affecting increased HV. Results: Forty-six feet of 43 patients were included. After AAFD reconstructive surgery, the tibial sesamoid position improved by 1 grade, but the HVA increased 4 degrees in average. Further, 21 of 46 feet (46%) showed an HVA increase ≥5 degrees immediately after AAFD correction surgery. Preoperative talonavicular coverage angle <21.6 degrees was a risk factor associated with HV increase immediately after the surgery. Conclusion: In this case series, using plain radiographs to measure standard parameters of foot alignment, we found the association between AAFD correction and HV deformity measures somewhat paradoxical. Correction of overpronation of the hindfoot and midfoot appears to improve the first metatarsal rotational deformity but may also increase HVA. A lower preoperative talonavicular coverage angle was associated with an increase of the HVA after surgery. Level of Evidence: Level IV, case series study.

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