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Author Green, Stuart A.,
Title Intramedullary limb lengthening : principles and practice / Stuart A. Green, Mark T. Dahl.
Imprint Cham : Springer, [2018]

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Author Green, Stuart A.,
Subject Extremities (Anatomy) -- Abnormalities -- Surgery.
Bone lengthening (Orthopedics)
Alt Name Dahl, Mark T.,
Description 1 online resource
Bibliography Note Includes bibliographical references and index.
Summary "Providing a comprehensive overview of the current orthopedic uses of intramedullary devices, this practical, well-illustrated guide opens with a review of the history of limb lengthening from the early external fixator up to Ilizarov's monumental discoveries, with a summary of the biology of new bone formation in a widening distraction gap. This is followed by post-Ilizarov developments with external fixators designed to ease application and increase patient tolerance of such devices, as well as a discussion of the intramedullary lengthening devices from the earliest mechanical distractors to the most modern implants, detailing the surgical principles, pre-operative planning and specific operative techniques for each. Concluding chapters focus on preventing and dealing with complications from the surgery and day-to-day post-operative management. A unique feature of the book is a cross-section atlas of the upper and lower limbs that will assist surgeons to avoid impaling neurovascular structures during the minimally invasive portions of operative insertion of the implants. Intramedullary Limb Lengthening: Principles and Practice is an ideal, on-the-spot resource for orthopedic surgeons, residents and trainees treating pediatric and adult limb deformities and length deficiencies, as well as physical therapists and other health care providers who manage such patients post-operatively."-- Provided by publisher.
Contents Preface; Contents; 1: Historical Background; Introduction; Early Pioneers; Parkhill; Codivilla; Putti; Abbott; Bost and Larsen; G.A. Ilizarov; First Patient; Distraction Osteogenesis; Ilizarov Apparatus; Ilizarov Institute, Kurgan, Siberia; Skepticism About Ilizarov's Method; Dissemination of the Ilizarov Method; The Cold War; Italian Connection; Worldwide Dissemination; ASAMI and LLRS; References; Further Reading; 2: The Regenerate Bone; Histologic Features of the Regenerate; Histology, Early Phases; Histology, Vascularization; The Fibrous Interzone; Maturation Phases.
Ossification The Ring of Ranvier; Factors Influencing Regenerate Quality; Stability; Osteotomy/Corticotomy; Rate and Rhythm of Distraction; Ilizarov Terminology; Introduction; Location; Sequence; Action; Objective; Summary; Conclusion; Applications of the Ilizarov Method; References; 3: Modifications of the Ilizarov Apparatus; Half-Pin Mounting; Computer-Controlled Hexapod Fixators; Monolateral External Fixation; Strategies to Shorten Time in Fixation; Lengthening Over a Nail; Lengthening and Then Nailing; Lengthening and Then Plating; References.
4: Intramedullary Lengthening Devices Background; Elimination of the External Fixator; Ratcheting Devices; Bliskunov Intramedullary Nail; Albizzia Intramedullary Nail; Internal Skeletal Kinetic Distractor; Rotating Spindle Devices; Fitbone Intramedullary Nail; Phenix Intramedullary Nail; PRECICE Intramedullary Nail; Transferring Energy Through Soft Tissues; Correcting Deformities with Intramedullary Lengthening Nails; Achondroplasia and Related Conditions; Achondroplasia; Hypochondroplasia; Turner's Syndrome; Constitutional Short Stature.
Stature Surgery in Dwarfing Conditions Clinical Illustration: Four-Segment Intramedullary Lengthening; Technical Considerations; Uses of Intramedullary Lengthening Nails; References; Further Reading; 5: Surgical Principles of Intramedullary Lengthening; General Principles; Similarity to Intramedullary Trauma Nails; Differences from Intramedullary Trauma Nails; Guide Wire Issues; Short or Long Nails; Preoperative Planning; Assessing Deformities; Hidden Deformities; Full-Length X-ray Studies; Clinical Illustration: Failure to Identify Hidden Deformity; Level of the Osteotomy.
The Osteotomy Formula Fixator-Assisted Nailing; Periosteal Elevation; Venting; Depth Plunging; Compartment Syndrome; Thermal Injury While Drilling Vent Holes; Osteotomy Technique; Transverse Locking Screws: Proximal Guide; Testing the Implant; Preliminary Osteotomy Gap; A Spare Implant; Correcting Deformities with Intramedullary Lengthening Nails; Considerations for Tibiofibula Lengthening; The Fibula; Osteotomy of the Fibula; Fibular Fixation to the Tibia; Blocking Equinus; Tibial Insertion Point; Transverse Locking Screws: Distal Targeting.
Note Print version record.
ISBN 9783319602974 (electronic bk.)
3319602977 (electronic bk.)
ISBN/ISSN 10.1007/978-3-319-60297-4
OCLC # 1004728319
Additional Format Original 9783319602967 3319602969 (OCoLC)987282418.