Use of Ilizarov fixator Hexapod apparatus for fracture prox tibia

•Download as PPTX, PDF•

4 likes•777 views

Use of Ilizarov fixator Hexapod apparatus for fracture proximal tibia. Bone substitute Genex (Biocomposites) was used for this case.

Health & Medicine

Center for Limb Lengthening & Reconstruction, Mumbai
Hexapod Assisted Correction
Dr Mangal Parihar
1

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

Center for Limb Lengthening & Reconstruction, Mumbai
Preop Xrays
3

Center for Limb Lengthening & Reconstruction, Mumbai
3D CT Pictures
4

Center for Limb Lengthening & Reconstruction, Mumbai 5

Center for Limb Lengthening & Reconstruction, Mumbai
Problem List
• Wound
• Intra-articular Comminution
• Maintain vascularity of bone fragments
• Stable fixation
6

Center for Limb Lengthening & Reconstruction, Mumbai
Steps
• Indirect Intra-articular Reduction
• Raft Screw
• Ilizarov Fixator Application
• Hexapod Assisted Correction
• Mobilization
• Wound Management
7

Center for Limb Lengthening & Reconstruction, Mumbai
Carm Pictures of Intra-
articular reduction
8

Center for Limb Lengthening & Reconstruction, Mumbai
Elevation of Depressed Lateral
Condyle
9

Center for Limb Lengthening & Reconstruction, Mumbai 10

Center for Limb Lengthening & Reconstruction, Mumbai 11

Center for Limb Lengthening & Reconstruction, Mumbai
Reduction Achieved
12

Center for Limb Lengthening & Reconstruction, Mumbai
Raft Screw
13

Center for Limb Lengthening & Reconstruction, Mumbai
Genex Instillation
14

Center for Limb Lengthening & Reconstruction, Mumbai
Ilizarov Fixator
15

Center for Limb Lengthening & Reconstruction, Mumbai
Hexapod Calculations
• Distraction
• Angulation
• Anterior
Translation
16

Center for Limb Lengthening & Reconstruction, Mumbai
Distraction
Lateral & Anterior Translation
17

Center for Limb Lengthening & Reconstruction, Mumbai
10 Days
18
Lateral & Anterior Translation
Compression

Center for Limb Lengthening & Reconstruction, Mumbai
12 Days
19

Center for Limb Lengthening & Reconstruction, Mumbai 20

Center for Limb Lengthening & Reconstruction, Mumbai
Conversion To Straight Rods
21

Center for Limb Lengthening & Reconstruction, Mumbai
2.5 Weeks Post Surgery
22

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

Center for Limb Lengthening & Reconstruction, Mumbai

Center for Limb Lengthening & Reconstruction, Mumbai
Incisions
25

Center for Limb Lengthening & Reconstruction, Mumbai
Evolution Of Wound Over 3
weeks
26

Center for Limb Lengthening & Reconstruction, Mumbai
5 Months - AP
27

Center for Limb Lengthening & Reconstruction, Mumbai
5 Months - Lat
28

Center for Limb Lengthening & Reconstruction, Mumbai
Post Fixator Removal
29

Center for Limb Lengthening & Reconstruction, Mumbai 30

Center for Limb Lengthening & Reconstruction, Mumbai
Scars
31

Center for Limb Lengthening & Reconstruction, Mumbai
Function
32

Center for Limb Lengthening & Reconstruction, Mumbai
Function at 1 Year
33

Center for Limb Lengthening & Reconstruction, Mumbai
Xrays At 1 Year
34

Center for Limb Lengthening & Reconstruction, Mumbai
www.ilizarov.in
35

Recently uploaded

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High profile Girls VIP Call Girl Pune As Enjoy Never Ending Pune VIP Call Girls is highly qualified professionals. #S10 They will offer only top quality services and never try to scam or drain you of money; in fact, they strive to give complete satisfaction so that each cent spent was worth its worth. Furthermore, these professionals pride themselves in keeping customer details confidential; any information gleaned will never be shared with any third party. Two shots with one girl: ₹4500/in-call, ₹7500/out-call Body to body massage with : ₹5500/in-call Full night for one person: ₹7000/in-call, ₹12000/out-call •𝐂𝐨𝐥𝐥𝐞𝐠𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐇𝐨𝐮𝐬𝐞𝐰𝐢𝐯𝐞𝐬 •𝐇𝐢𝐠𝐡 𝐏𝐫𝐨𝐟𝐢𝐥𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐑𝐚𝐦𝐩 𝐌𝐨𝐝𝐞𝐥𝐬 •𝐅𝐨𝐫𝐞𝐢𝐠𝐧𝐞𝐫 𝐆𝐢𝐫𝐥𝐬 𝐎𝐮𝐫 𝐞𝐬𝐜𝐨𝐫𝐭 𝐬𝐞𝐫𝐯𝐢𝐜𝐞𝐬 •𝐇𝐉 (𝐇𝐚𝐧𝐝 𝐉𝐨𝐛) •𝐁𝐉 (𝐁𝐥𝐨𝐰𝐣𝐨𝐛) # Completion # (Oral To Completion) # Special Massage # O-Level (Oral ) # Oral With A Noncondom) # COB (Come On Body) # Extraball (Have Many Times) # All Meetings 100%Safe Call Payal:-- 9352988975

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...

chetankumar9855

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k along with Free Room Call TO mr Kapoor book Fun:9711199012 Delhi Call ME WHATSAPP RAHUL 9711199012 Provide VIP escort service CALL ME 9711199012 100% satisfaction call 24hrs..% SHORT 2OOO/OUTCALL=2=SHORT=5000 AND Night 7OOO/- FORM INDIAN , NEPALI ,KASMARI MANIPURI HOT GIRLS AND MATURED HOUSE WIFE BOOKING ONLY DECENT GUYS AND GENTLEMAN NO FAKE PERSON FREE HOME SERVICE IN CALL FULL A.C ROOM SERVICE IN SOUTH DELHI satisfied guaranteed (AGE 21) College girls , party girls and also housewife. LOCANTION ~ DELHI,NOIDA,GURGAO NCR Call OR WHATSAPP Kapoor 9711199012 Our Service Available IN All Independent DELHI Escorts SERVICE, 3/5/7 STAR HOTEL SERVICE, in call /Out call Service.24 hrs. * Models * Receptionist, * Air Hostess, * Call Centre Working Girls/Women ans * Hi-tech Co. Girls/Women * House Wife. * College going girls Call ME WHATSAPP RAHUL 9711199012 LOCANTION ~ DELHI,NOIDA,GURGAO Call ME WHATSAPP RAHUL 9711199012 Our Service Available IN All Independent DELHI Escorts SERVICE, 3/5/7 STAR HOTEL SERVICE, in call /Out call Service.24 hrs. * Models * Receptionist, * Air Hostess, * Call Center Working Girls/Women ans * Hi-tech Co. Girls/Women * House Wife. * College going girls Call OR WHATSAPP Kapoor 9711199012 07-05-2024(chd)

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...

BhumiSaxena1

Model Call Girl Services in Delhi reach out to us at 🔝 9953056974 🔝✔️✔️ Our agency presents a selection of young, charming call girls available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives, College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Delhi ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 9953056974 🔝. for details Operating 24/7, we serve various locations in Delhi, including Green Park, Lajpat Nagar, Saket, and Hauz Khas near metro stations. For premium call girl services in Delhi 🔝 9953056974 🔝. Thank you for considering us!

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7

9953056974 Low Rate Call Girls In Saket, Delhi NCR

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Service Number Mohali Call Girls Mohali Just Call 6367187148 Top Class Call Girl Service Available ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* #S07 5* 7*Hotels Service in • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...

karishmasinghjnh

Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me Why you Choose Us- +91-8250092165 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . A020524ST ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me

chennailover

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time Call Mr Chirag Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls, Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In 03-May-2024 (chd) Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time

Call Girls Delhi

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 9004268417 Neha Thakur Booking Contact Details WhatsApp Chat: +91-9004268417 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant;$S2 making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...

Anamika Rawat

Kollam call girls Mallu aunty service 7877702510

Vipesco

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Girl UKHBET Escorts Service Available ✔ All Day And Night Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...

parulsinha

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Celebrity for 5* Hotels Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...

parulsinha

Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun WhatsApp Chat: ☎️ +91-8854095900 Call Girls Dehradun offer you everything from intimate moments to wild nights - be it intimate or wild. Their girls are always prepared to meet all your needs and desires so you're assured a memorable experience with them. Beautiful Babes are sure to turn heads wherever they go, captivating men with their seductive personalities and captivating looks - not to mention their sensually alluring bodies that are sure to satisfy all your naughty fantasies, from blowjobs to anal massages; not forgetting BDSM and orgies as well. Show them some appreciation when the time is right. Call Girl Dehradun that their clients can be very demanding. To maintain their reputation and gain more clients, these sexy call girls always work tirelessly to provide exceptional service that ensures each customer's happiness - so much so that many men seek them out to have an unforgettable experience with Passionate about providing erotic pleasure for their clients - fulfilling all sexy fantasies while offering role play services such as BDSM. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe WHATSAPP CALL ME💥✨✨⭐⭐⚡💦💦💨🔥💫💫 Their services range from erotic encounters and movie dates to in-call and out-call services, making this option available 24/7. Available for services including NSA, threesomes and foursomes sessions as well as massage services and casual foreplay - they even provide real girlfriend experience. Find one online or visit local women's clubs, hotels or restaurants. Hiring a Dehradun call girl for an evening or day out can be the perfect addition to your social gathering or office event, or you could arrange for her to visit your home or hotel room. Not only are these women gorgeous, they're intelligent as well, with great senses of humor - sure to please and leave you wanting more. If you want a cheap escort in Dehradun, look for someone who is either a student or works part time so that she will always be available when you need her. In addition to this, look for housewives as this ensures they have stable lives that can keep you satisfied for extended periods. These beautiful ladies will capture your attention at first sight with stunning eyes and full, seductive lips; not to mention a seductive personality that makes you want to spend more time with them; moreover they are discreet enough to meet up anywhere nearby! Hiring a call girl in Dehradun can be done through either the internet or calling her directly, with services like massage or sex sessions offered to request from specific agencies within a few hours of making contact. Furthermore, text the girl directly for price quotes!

Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...

Sheetaleventcompany

Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Profile Most Luxurious Call Girl With Real Photos Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...

parulsinha

Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Mysore Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Mysore Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Mysore Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Top Rated Bangalore Call Girls Mg Road ⟟ ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore

Most Beautiful Call Girl in Bangalore Contact on Whatsapp

Inaaya Sharma

Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 100% verified Why you Choose Us- +91-7427069034 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating 03-May(Ast)

Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...

chennailover

Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Available Our agency presents a selection of young, charming call girls #J11 available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives,#J11 College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Lucknow ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 7877925207 🔝. for details Operating 24/7, we serve various locations in Lucknow, including Green Park, near metro stations. For premium call girl services in Lucknow 🔝 7877925207 🔝. Thank you for considering us!

Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...

adilkhan87451

Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Amritsar Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Amritsar Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Amritsar Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Rishikesh Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts | 100% verified Why you Choose Us- +91-7427069034 Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . A060524ST ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...

chennailover

Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Mumbai Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Mumbai Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Mumbai Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Recently uploaded (20)

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...

Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7

Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...

Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time

Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...

Kollam call girls Mallu aunty service 7877702510

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...

Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...

Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...

Call Girls Mysore Just Call 8250077686 Top Class Call Girl Service Available

Most Beautiful Call Girl in Bangalore Contact on Whatsapp

Coimbatore Call Girls in Coimbatore 7427069034 genuine Escort Service Girl 10...

Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...

Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available

Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...

Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available

Featured

https://www.hubspot.com/state-of-marketing · Scaling relationships and proving ROI · Social media is the place for search, sales, and service · Authentic influencer partnerships fuel brand growth · The strongest connections happen via call, click, chat, and camera. · Time saved with AI leads to more creative work · Seeking: A single source of truth · TLDR; Get on social, try AI, and align your systems. · More human marketing, powered by robots

2024 State of Marketing Report – by Hubspot

Marius Sescu

ChatGPT is a revolutionary addition to the world since its introduction in 2022. A big shift in the sector of information gathering and processing happened because of this chatbot. What is the story of ChatGPT? How is the bot responding to prompts and generating contents? Swipe through these slides prepared by Expeed Software, a web development company regarding the development and technical intricacies of ChatGPT!

Everything You Need To Know About ChatGPT

Expeed Software

Product Design Trends in 2024 | Teenage Engineerings

Pixeldarts

Mental health has been in the news quite a bit lately. Dozens of U.S. states are currently suing Meta for contributing to the youth mental health crisis by inserting addictive features into their products, while the U.S. Surgeon General is touring the nation to bring awareness to the growing epidemic of loneliness and isolation. The country has endured periods of low national morale, such as in the 1970s when high inflation and the energy crisis worsened public sentiment following the Vietnam War. The current mood, however, feels different. Gallup recently reported that national mental health is at an all-time low, with few bright spots to lift spirits. To better understand how Americans are feeling and their attitudes towards mental health in general, ThinkNow conducted a nationally representative quantitative survey of 1,500 respondents and found some interesting differences among ethnic, age and gender groups. Technology For example, 52% agree that technology and social media have a negative impact on mental health, but when broken out by race, 61% of Whites felt technology had a negative effect, and only 48% of Hispanics thought it did. While technology has helped us keep in touch with friends and family in faraway places, it appears to have degraded our ability to connect in person. Staying connected online is a double-edged sword since the same news feed that brings us pictures of the grandkids and fluffy kittens also feeds us news about the wars in Israel and Ukraine, the dysfunction in Washington, the latest mass shooting and the climate crisis. Hispanics may have a built-in defense against the isolation technology breeds, owing to their large, multigenerational households, strong social support systems, and tendency to use social media to stay connected with relatives abroad. Age and Gender When asked how individuals rate their mental health, men rate it higher than women by 11 percentage points, and Baby Boomers rank it highest at 83%, saying it’s good or excellent vs. 57% of Gen Z saying the same. Gen Z spends the most amount of time on social media, so the notion that social media negatively affects mental health appears to be correlated. Unfortunately, Gen Z is also the generation that’s least comfortable discussing mental health concerns with healthcare professionals. Only 40% of them state they’re comfortable discussing their issues with a professional compared to 60% of Millennials and 65% of Boomers. Race Affects Attitudes As seen in previous research conducted by ThinkNow, Asian Americans lag other groups when it comes to awareness of mental health issues. Twenty-four percent of Asian Americans believe that having a mental health issue is a sign of weakness compared to the 16% average for all groups. Asians are also considerably less likely to be aware of mental health services in their communities (42% vs. 55%) and most likely to seek out information on social media (51% vs. 35%).

How Race, Age and Gender Shape Attitudes Towards Mental Health

ThinkNow

AI Trends in Creative Operations 2024 by Artwork Flow.pdf

marketingartwork

Skeleton Culture Code

Skeleton Technologies

PEPSICO Presentation to CAGNY Conference Feb 2024

Neil Kimberley

Content Methodology: A Best Practices Report (Webinar)

contently

How to Prepare For a Successful Job Search for 2024

Albert Qian

A report by thenetworkone and Kurio. The contributing experts and agencies are (in an alphabetical order): Sylwia Rytel, Social Media Supervisor, 180heartbeats + JUNG v MATT (PL), Sharlene Jenner, Vice President - Director of Engagement Strategy, Abelson Taylor (USA), Alex Casanovas, Digital Director, Atrevia (ES), Dora Beilin, Senior Social Strategist, Barrett Hoffher (USA), Min Seo, Campaign Director, Brand New Agency (KR), Deshé M. Gully, Associate Strategist, Day One Agency (USA), Francesca Trevisan, Strategist, Different (IT), Trevor Crossman, CX and Digital Transformation Director; Olivia Hussey, Strategic Planner; Simi Srinarula, Social Media Manager, The Hallway (AUS), James Hebbert, Managing Director, Hylink (CN / UK), Mundy Álvarez, Planning Director; Pedro Rojas, Social Media Manager; Pancho González, CCO, Inbrax (CH), Oana Oprea, Head of Digital Planning, Jam Session Agency (RO), Amy Bottrill, Social Account Director, Launch (UK), Gaby Arriaga, Founder, Leonardo1452 (MX), Shantesh S Row, Creative Director, Liwa (UAE), Rajesh Mehta, Chief Strategy Officer; Dhruv Gaur, Digital Planning Lead; Leonie Mergulhao, Account Supervisor - Social Media & PR, Medulla (IN), Aurelija Plioplytė, Head of Digital & Social, Not Perfect (LI), Daiana Khaidargaliyeva, Account Manager, Osaka Labs (UK / USA), Stefanie Söhnchen, Vice President Digital, PIABO Communications (DE), Elisabeth Winiartati, Managing Consultant, Head of Global Integrated Communications; Lydia Aprina, Account Manager, Integrated Marketing and Communications; Nita Prabowo, Account Manager, Integrated Marketing and Communications; Okhi, Web Developer, PNTR Group (ID), Kei Obusan, Insights Director; Daffi Ranandi, Insights Manager, Radarr (SG), Gautam Reghunath, Co-founder & CEO, Talented (IN), Donagh Humphreys, Head of Social and Digital Innovation, THINKHOUSE (IRE), Sarah Yim, Strategy Director, Zulu Alpha Kilo (CA).

Social Media Marketing Trends 2024 // The Global Indie Insights

Kurio // The Social Media Age(ncy)

The search marketing landscape is evolving rapidly with new technologies, and professionals, like you, rely on innovative paid search strategies to meet changing demands. It’s important that you’re ready to implement new strategies in 2024. Check this out and learn the top trends in paid search advertising that are expected to gain traction, so you can drive higher ROI more efficiently in 2024. You’ll learn: - The latest trends in AI and automation, and what this means for an evolving paid search ecosystem. - New developments in privacy and data regulation. - Emerging ad formats that are expected to make an impact next year. Watch Sreekant Lanka from iQuanti and Irina Klein from OneMain Financial as they dive into the future of paid search and explore the trends, strategies, and technologies that will shape the search marketing landscape. If you’re looking to assess your paid search strategy and design an industry-aligned plan for 2024, then this webinar is for you.

Trends In Paid Search: Navigating The Digital Landscape In 2024

Search Engine Journal

From their humble beginnings in 1984, TED has grown into the world’s most powerful amplifier for speakers and thought-leaders to share their ideas. They have over 2,400 filmed talks (not including the 30,000+ TEDx videos) freely available online, and have hosted over 17,500 events around the world. With over one billion views in a year, it’s no wonder that so many speakers are looking to TED for ideas on how to share their message more effectively. The article “5 Public-Speaking Tips TED Gives Its Speakers”, by Carmine Gallo for Forbes, gives speakers five practical ways to connect with their audience, and effectively share their ideas on stage. Whether you are gearing up to get on a TED stage yourself, or just want to master the skills that so many of their speakers possess, these tips and quotes from Chris Anderson, the TED Talks Curator, will encourage you to make the most impactful impression on your audience. See the full article and more summaries like this on SpeakerHub here: https://speakerhub.com/blog/5-presentation-tips-ted-gives-its-speakers See the original article on Forbes here: http://www.forbes.com/forbes/welcome/?toURL=http://www.forbes.com/sites/carminegallo/2016/05/06/5-public-speaking-tips-ted-gives-its-speakers/&refURL=&referrer=#5c07a8221d9b

5 Public speaking tips from TED - Visualized summary

SpeakerHub

Everyone is in agreement that ChatGPT (and other generative AI tools) will shape the future of work. Yet there is little consensus on exactly how, when, and to what extent this technology will change our world. Businesses that extract maximum value from ChatGPT will use it as a collaborative tool for everything from brainstorming to technical maintenance. For individuals, now is the time to pinpoint the skills the future professional will need to thrive in the AI age. Check out this presentation to understand what ChatGPT is, how it will shape the future of work, and how you can prepare to take advantage.

ChatGPT and the Future of Work - Clark Boyd

Clark Boyd

Getting into the tech field. what next

Tessa Mero

Google's Just Not That Into You: Understanding Core Updates & Search Intent

Lily Ray

How to have difficult conversations

Rajiv Jayarajah, MAppComm, ACC

Introduction to Data Science

Christy Abraham Joy

Time Management & Productivity - Best Practices

Vit Horky

The six step guide to practical project management If you think managing projects is too difficult, think again. We’ve stripped back project management processes to the basics – to make it quicker and easier, without sacrificing the vital ingredients for success. “If you’re looking for some real-world guidance, then The Six Step Guide to Practical Project Management will help.” Dr Andrew Makar, Tactical Project Management

The six step guide to practical project management

MindGenius

Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...

RachelPearson36

Featured (20)

2024 State of Marketing Report – by Hubspot

Everything You Need To Know About ChatGPT

Product Design Trends in 2024 | Teenage Engineerings

How Race, Age and Gender Shape Attitudes Towards Mental Health

AI Trends in Creative Operations 2024 by Artwork Flow.pdf

Skeleton Culture Code

PEPSICO Presentation to CAGNY Conference Feb 2024

Content Methodology: A Best Practices Report (Webinar)

How to Prepare For a Successful Job Search for 2024

Social Media Marketing Trends 2024 // The Global Indie Insights

Trends In Paid Search: Navigating The Digital Landscape In 2024

5 Public speaking tips from TED - Visualized summary

ChatGPT and the Future of Work - Clark Boyd

Getting into the tech field. what next

Google's Just Not That Into You: Understanding Core Updates & Search Intent

How to have difficult conversations

Introduction to Data Science

Time Management & Productivity - Best Practices

The six step guide to practical project management

Beginners Guide to TikTok for Search - Rachel Pearson - We are Tilt __ Bright...

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

Use of Ilizarov fixator Hexapod apparatus for fracture prox tibia

Recommended

Recommended

More Related Content

Recently uploaded

Recently uploaded (20)

Featured

Featured (20)

Use of Ilizarov fixator Hexapod apparatus for fracture prox tibia