|
1. |
Chapter 1: Strategies for Reconstruction of Periarticular and Shaft Fractures of the Tibia |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 1-4
James Hutson,
Preview
|
PDF (218KB)
|
|
摘要:
SummaryThe technical strategies to treat fractures of the tibia with Ilizarov fixators are described. An Ilizarov fixator can be applied as a neutralization device after open or pericutaneous reduction, as an active reduction device using universal hinge mechanisms between fixation blocks, or as an external scaffold which incorporates distraction/compression and the placement of pins and wires to apply force through pivot points and levers. Periarticular fracture patterns are classified into five types: Type 1, intact metaphysis; Type 2, simple sagittal or coronal fractures; Type 3, moderate large fragment joint fractures; Type 4, comminution of the joint; and Type 5, severe crushing with bone loss. The concept of fixation blocks and orthogonal placement of pins and wires is introduced.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
2. |
Chapter 2: Safe Wire and Half Pin Placement in Tibia Fractures |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 5-11
James Hutson,
Preview
|
PDF (316KB)
|
|
摘要:
SummaryThe anatomy of the proximal metaphysis, shaft, and distal metaphysis of the tibia, and how it determines the safe pin and wire pathways when fixating the tibia using Ilizarov fixators are described. Wire placement in the foot is described for bridging frame applications for pilon fractures. The safe wire positions adjacent to the knee and ankle joint are described. The lateral centered view is used to safely place wires adjacent to the joint capsule. Unsafe wire and pin positions are illustrated and techniques to avoid poor wire placement are described.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
3. |
Appendix 1: True Lateral Centered View |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 12-14
James Hutson,
Preview
|
PDF (649KB)
|
|
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
4. |
Chapter 3: Practical Biomechanics for the Application of Ilizarov Fixators to Fractures of the Tibia |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 15-25
James Hutson,
Preview
|
PDF (1814KB)
|
|
摘要:
SummaryThe biomechanics of tensioned wires and half pins are described. The effects of wire position, number, and configuration on constructing a stiff periarticular fixation block are illustrated. Half pin application to the shaft and construction of a stable base for fixation of periarticular fractures are illustrated. The selection of appropriate ring diameter is based on soft tissue clearance and frame stiffness.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
5. |
Chapter 4: Basic Frame Construction: Building Fixation Blocks and Designing Working Length Mechanization |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 26-33
James Hutson,
Preview
|
PDF (2305KB)
|
|
摘要:
SummaryThe fixation blocks used in Ilizarov fixators are illustrated: single ring, ring and 5/8 ring, periarticular double ring block, shaft double ring block, transport ring, and foot frame. Working length mechanisms are illustrated: distraction, compression, rotation, angular correction, translation, and neutralization. Working length rod selection used in fracture treatment is illustrated. Universal hinge mechanisms are discussed.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
6. |
Chapter 5: Reduction Techniques Used for Ilizarov Treatment of Tibial Fractures |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 34-45
James Hutson,
Preview
|
PDF (2909KB)
|
|
摘要:
SummaryReduction techniques used to reduce tibia fractures with Ilizarov fixators are illustrated. Techniques include: wire positioning and angular correction, horizontal wire positioning on rings, draw and arch wire techniques, half pin reduction techniques, laminar spreader techniques, limited internal fixation with pins, screws and plates, universal hinge mechanisms, and universal Rancho cube reduction techniques.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
7. |
Chapter 6: The Treatment of Tibial Shaft Fractures with Ilizarov Fixators |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 46-57
James Hutson,
Preview
|
PDF (10154KB)
|
|
摘要:
SummaryThe strategy of reduction of tibial shaft fractures and segmented tibia fractures is discussed. The technical sequence of reduction is illustrated. Initial alignment of the horizontal reference wire and techniques to gain initial anatomic alignment is illustrated.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
8. |
Chapter 7: The Treatment of Proximal Periarticular Tibial Fractures with Ilizarov Fixators |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 58-70
James Hutson,
Preview
|
PDF (2995KB)
|
|
摘要:
SummaryThe techniques to reduce and fixate OTA Type A, C1, C2, and C3 fractures are illustrated. Fractures with an intact or reconstructible metaphysis are fixated with nonbridging frames (Type A, C1, C2). C3 fractures with joint comminution are treated with bridging extension across the knee joint. Techniques to reduce the joint surface are illustrated. Early resuscitation of the injured patient with emphasis on compartment syndrome and vascular injury is described. The technique for applying half pin anterior resuscitation fixators is illustrated.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
9. |
Chapter 8: The Treatment of Distal Tibia Periarticular Fractures with Ilizarov Fixators |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 71-92
James Hutson,
Preview
|
PDF (5967KB)
|
|
摘要:
SummaryThe early treatment of pilon fractures using joint spanning devices for resuscitation is discussed. Compartment syndromes, vascular injury, and injuries that may need amputation are discussed. Reduction technique for Type A and C1 and C2 pilon fractures using tibial frames is illustrated. Treatment for C3 pilon fractures with bridging frames is also illustrated. Management of fibular fracture patterns and joint comminution are illustrated. Reconstruction techniques of bone grafting, acute shortening, intercalary bone transport, and lengthening are illustrated.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
10. |
Chapter 9: Management of the Tibia Fracture to Union |
|
Techniques in Orthopaedics,
Volume 17,
Issue 1,
2002,
Page 93-96
James Hutson,
Preview
|
PDF (50KB)
|
|
摘要:
SummaryPain management, physical therapy, evaluation of healing and frame removal are discussed. Time to union for tibial plateau, shaft, and pilon fractures is also discussed.
ISSN:0885-9698
出版商:OVID
年代:2002
数据来源: OVID
|
|