The Orthofix Limb Reconstruction System consists of an assembly of clamps ( usually two or three) which can The options for treatment with the LRS System. manipulate limb so that both pairs of bone screws are parallel. Apply LRS rail with standard straight clamps, and tighten clamp locking screws. Spacing screw. ➞. Using the rail fixator from Orthofix as an example (Orthofix LRS, Verona, Italy), these can be summarised as follows: There should be at least.

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Nearly all of our patients were able to stand and walk with partial weight bearing immediately after LRS application. Orthofix Limb Reconstruction System. J Bone joint Surg Br. A check is performed by X-ray: Among these failed cases, one presented after 19 years of injury distal one-fourth tibia and underwent multiple earlier procedures.

Author information Copyright and License information Disclaimer. The influence of sex hormone on coagulation and inflammation in the trauma patients. Lrss Extremity Product Gallery.

Limb Reconstruction is the discipline which attempts to correct anatomy and restore function in a deformed or deficient limb. It also allows dynamization of the fracture site which is the essential principle in the treatment of nonunions.

Additional screw placement can be done so as to fill the first and fifth seats of the distal orthofixx clamp, third and fifth seats of the proximal and first and fifth seats of the middle template. The co-operation of the physical therapist and patient is also important, since the patient must exercise the limb and joints. There are many pin site care regimes and some evidence supporting specific lts. The average duration of treatment was 9. Clin orthop Relat Res.


X-ray anteroposterior a and lateral view b of thigh at completion of treatment showing fracture has united well c, d clinical photographs showing range of motion. Control of segments Many devices are available for femoral lengthening. Sites for lengthening The usual chosen sites of femoral orthoifx for lengthening are metaphyseal regions, often the subtrochanteric or supracondylar areas. There was no major complications like radial nerve palsy and joint stiffness, Furthermore, the monolateral axial external fixator was tolerated well and allowed movements of shoulder and elbow throughout the period of treatment.

Femoral lengthening with a rail external fixator: tips and tricks

The order of pin insertion is marked. Subtrochanteric femoral lengthening Advantages Regenerate quality This area in the proximal femur has an excellent blood supply from anastomoses between branches of the medial and lateral circumflex femoral vessels. Female reproductive hormones have been shown to influence the inflammatory response and outcome after trauma. Patients with severe osteoporosis, patients who are HIV positive and patients with severe, poorly controlled diabetes orthofiz.

Orthofix Limb Reconstruction | Krishnakumar Orthopaedic Hospital

A confirmation has been sent to you, please click the link to lr your email address and activate your subscription. This ensures that as lengthening progresses and the clamp—clamp distance increases, stability is maintained.


But it is difficult to correct three-dimensional deformities with uniplanar external fixator LRS unlike Ilizarov fixator. These patients are usually operated upon several times for stabilization and healing or to eradicate infection, which in turn produces scarring of the soft tissues and devitalization of any surviving bone. Turn on more accessible mode.

Femoral lengthening with a rail external fixator: tips and tricks

Age related changes in lymphocyte development and function. Paired t-test was used to compare the preoperative and post-treatment limb length discrepancy and range of movements of joints proximal and distal to the nonunion site.

Principles of External Fixation. There should be at least three pins per segment of bone held by the fixator. lrthofix

Orthofix Limb Reconstruction

Gradual stretching of the gluteus maximus will reduce the problem. Use of a sandwich clamp in the middle is needed Fig. When both reference pins ortjofix securely held in their respective screw guides in the proximal and distal clamp templates, insertion of the remaining screws is a mechanical process as the position of the rail against the femur would have been determined by first two reference screws. Table 3 Details of treatment.