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Center for Limb Lengthening & Reconstruction, MumbaiCenter for Limb Lengthening & Reconstruction, Mumbai
Foot & Ankle
1
Center for Limb Lengthening & Reconstruction, Mumbai
Deformity Ankle
• Post Radiation Injury
• Teardrop Distal Tibial Epihysis
• Abnormal Distal Fibular Physis
• Valgus Deformity
• Shortening
2
Center for Limb Lengthening & Reconstruction, Mumbai
Supra-Malleolar Osteotomy
Hexapod Correction
3
Center for Limb Lengthening & Reconstruction, Mumbai
Hexapod Correction
4
Center for Limb Lengthening & Reconstruction, Mumbai 5
Center for Limb Lengthening & Reconstruction, Mumbai
Problem List
• Inadequate Translation
• Inadequate Angle correction
• Struts coming off
• Ring Not Parallel to Joint Line
• Carbon Rings
 - not strong enough
6
Center for Limb Lengthening & Reconstruction, Mumbai
Fixator Removed
7
Center for Limb Lengthening & Reconstruction, Mumbai
Recurrence
8
Center for Limb Lengthening & Reconstruction, Mumbai
Recent
• Valgus At Ankle
• External Rotation Deformity
• Shortening
9
Center for Limb Lengthening & Reconstruction, Mumbai
MRI
10
Center for Limb Lengthening & Reconstruction, Mumbai
Xrays
11
Center for Limb Lengthening & Reconstruction, Mumbai
Assessment of Rotation
12
Center for Limb Lengthening & Reconstruction, Mumbai
Pre Correction
13
Center for Limb Lengthening & Reconstruction, Mumbai
Hexapod Calculations
• Distraction
• Angulation
• Lateral
Translation
• Internal
Rotation
14
Center for Limb Lengthening & Reconstruction, Mumbai
Correction
15
Center for Limb Lengthening & Reconstruction, Mumbai
40 Days Post 1st Programme
• Distraction
• Angulation
• Lateral
Translation
16
Center for Limb Lengthening & Reconstruction, Mumbai
Clinical Pictures After 40 days
• Rotation Fully
Corrected
• Angulation
Almost Corrected
17
Center for Limb Lengthening & Reconstruction, Mumbai
Correction Continued
18
Center for Limb Lengthening & Reconstruction, Mumbai
End of Correction 90 Days
• 40 mm
Lengthening
19
Center for Limb Lengthening & Reconstruction, Mumbai
Consolidation
20
Center for Limb Lengthening & Reconstruction, Mumbai
Recent 6 months Post Surgery
21
Center for Limb Lengthening & Reconstruction, Mumbai 22
Function
Center for Limb Lengthening & Reconstruction, Mumbai
Living With Fixator
23
Center for Limb Lengthening & Reconstruction, Mumbai
1 Year Post Removal
24
Center for Limb Lengthening & Reconstruction, Mumbai 25

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Foot&ankle copy

  • 1. Center for Limb Lengthening & Reconstruction, MumbaiCenter for Limb Lengthening & Reconstruction, Mumbai Foot & Ankle 1
  • 2. Center for Limb Lengthening & Reconstruction, Mumbai Deformity Ankle • Post Radiation Injury • Teardrop Distal Tibial Epihysis • Abnormal Distal Fibular Physis • Valgus Deformity • Shortening 2
  • 3. Center for Limb Lengthening & Reconstruction, Mumbai Supra-Malleolar Osteotomy Hexapod Correction 3
  • 4. Center for Limb Lengthening & Reconstruction, Mumbai Hexapod Correction 4
  • 5. Center for Limb Lengthening & Reconstruction, Mumbai 5
  • 6. Center for Limb Lengthening & Reconstruction, Mumbai Problem List • Inadequate Translation • Inadequate Angle correction • Struts coming off • Ring Not Parallel to Joint Line • Carbon Rings  - not strong enough 6
  • 7. Center for Limb Lengthening & Reconstruction, Mumbai Fixator Removed 7
  • 8. Center for Limb Lengthening & Reconstruction, Mumbai Recurrence 8
  • 9. Center for Limb Lengthening & Reconstruction, Mumbai Recent • Valgus At Ankle • External Rotation Deformity • Shortening 9
  • 10. Center for Limb Lengthening & Reconstruction, Mumbai MRI 10
  • 11. Center for Limb Lengthening & Reconstruction, Mumbai Xrays 11
  • 12. Center for Limb Lengthening & Reconstruction, Mumbai Assessment of Rotation 12
  • 13. Center for Limb Lengthening & Reconstruction, Mumbai Pre Correction 13
  • 14. Center for Limb Lengthening & Reconstruction, Mumbai Hexapod Calculations • Distraction • Angulation • Lateral Translation • Internal Rotation 14
  • 15. Center for Limb Lengthening & Reconstruction, Mumbai Correction 15
  • 16. Center for Limb Lengthening & Reconstruction, Mumbai 40 Days Post 1st Programme • Distraction • Angulation • Lateral Translation 16
  • 17. Center for Limb Lengthening & Reconstruction, Mumbai Clinical Pictures After 40 days • Rotation Fully Corrected • Angulation Almost Corrected 17
  • 18. Center for Limb Lengthening & Reconstruction, Mumbai Correction Continued 18
  • 19. Center for Limb Lengthening & Reconstruction, Mumbai End of Correction 90 Days • 40 mm Lengthening 19
  • 20. Center for Limb Lengthening & Reconstruction, Mumbai Consolidation 20
  • 21. Center for Limb Lengthening & Reconstruction, Mumbai Recent 6 months Post Surgery 21
  • 22. Center for Limb Lengthening & Reconstruction, Mumbai 22 Function
  • 23. Center for Limb Lengthening & Reconstruction, Mumbai Living With Fixator 23
  • 24. Center for Limb Lengthening & Reconstruction, Mumbai 1 Year Post Removal 24
  • 25. Center for Limb Lengthening & Reconstruction, Mumbai 25