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To fix something that someone is unhappy about that is not causing a lack of function.
Fingers and toes
Friday, November 4, 2016
Vol XCIII, No. 311
The Limb Lengthening Journals
Children recover faster than adults
Limb Lengthening Complications
HIGH rate of complications, including:
Pin site and intramedullary infections
Poor regenerate delayed consolidation
Muscle contracture/joint stiffness
Peripheral nerve damage
Peroneal Nerve Decompression
Peroneal Nerve Damage
What this can treat
A genetic disorder or from an incident
Growth plates not functioning
Gavriil A. Ilizarov developed the concept in 1951 after seeing many WWII veterans who had leg fractures that had not healed.
Created apparatus to help put compression on the fracture to help stimulate bone healing
Turning the mechanism the wrong way caused seperation of the bones.
Go through special series of x-rays
To confirm that it is due to a limb issue and is not actually an entirely different medical problem
Safe and effective in both children and adults
Avoid injuring the growth plate
Both normal growth and distraction osteogenesis continues during recovery
Muscle Contracture/Joint Stiffness
Limb lengthening does not always match intended results
Thickness of soft tissue surrounding thigh
Magnetic field can only cross a distance of 51 mm
Canal drilled in bone marrow
Precise nail into greater trochanter
Just remember with the Anatomy test on Monday...
or 25 points...
Innervation of The Femur
Innervation of the Tibia and Fibula
Simpson, A. H., Halliday, J., Hamilton, D. F., Smith, M., & Mills, K. (2013). Limb lengthening and peripheral nerve function—factors associated with deterioration of conduction. Acta Orthopaedica, 84(6), 579-584. doi:10.3109/17453674.2013.859418
Nogueira, M. P., MD, Paley, D., MD, Bhave, A., PT, Herbert, A., MD, Nocente, C., PhD, & Herzenberg, J. E., MD. (2003, August). Nerve Lesions Associated with Limb-Lengthening. The Journal of Bone and Joint Surgery, 85-A(8), 1502-1510.
Chilbule SK, Dutt V, Madhuri V. Limb lengthening in achondroplasia. Indian J Orthop 2016;50:397-405.
The Deep Fibular Nerve. (2016). Retrieved October 27, 2016, from http://teachmeanatomy.info/lower-limb/nerves/deep-fibular/
Peroneal Nerve Decompression for Deformity Correction and ... (2012, January 12). Retrieved October 27, 2016, from http://www.orthopaedicsone.com/display/Main/Peroneal Nerve Decompression for Deformity Correction and Limb Lengthening
Schiedel, F. M., Vogt, B., Tretow, H. L., Schuhknecht, B., Gosheger, G., Horter, M. J., & Rödl, R. (2014). How precise is the PRECICE compared to the ISKD in intramedullary limb lengthening? Acta Orthopaedica, 85(3), 293-298. doi:10.3109/17453674.2014.913955
Singh, N., Kulkarni, M., Kulkarni, V., Kulkarni, R., Kulkarni, G., & Kulkarni, S. (2012). Limb lengthening over plate. Indian Journal of Orthopaedics, 46(3), 339. doi:10.4103/0019-5413.96378
Do broken bones heal stronger than before the injury? - Quora. (n.d.). Retrieved November 2, 2016, from https://www.quora.com/Do-broken-bones-heal-stronger-than-before-the-injury
The Tibia and Fibula