1.13
The T-Clamp or B.G.T Clamp can be used as an alternative to Metaphyseal Clamp.
1.13
The T-Clamp or B.G.T Clamp can be used as an alternative to Metaphyseal Clamp.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.3
(a) Large peripheral bony defect; LRS ADVanced (53000 series) in place.
(b) Two osteotomies performed in the longer bone fragment.
(c) Simultaneous proximal transport with both internal clamps moved proximally until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.3
(a) Large peripheral bony defect; LRS ADVanced (53000 series) in place.
(b) Two osteotomies performed in the longer bone fragment.
(c) Simultaneous proximal transport with both internal clamps moved proximally until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
5.2
Proximal varus or valgus deformity in a short tibia; LRS Fixator (D200 series) with OF-Garches T-Clamp.
(a) Complete osteotomy performed. Initial lengthening in line of deformity.
(b) Progressive correction of angulation with further lengthening as needed.
Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.
Peroneal nerve: no acute correction of valgus deformity.
5.2
Proximal varus or valgus deformity in a short tibia; LRS Fixator (D200 series) with OF-Garches T-Clamp.
(a) Complete osteotomy performed. Initial lengthening in line of deformity.
(b) Progressive correction of angulation with further lengthening as needed.
Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.
Peroneal nerve: no acute correction of valgus deformity.
5.1
Valgus deformity of proximal tibia.
(a) LRS Fixator (D200 series) in place with Multiplanar Clamp proximally; osteotomy performed.
(b) Initial lengthening to stretch soft tissues slowly.
(c) Acute shortening and angular correction by callus manipulation. Further lengthening as needed.
5.1
Valgus deformity of proximal tibia.
(a) LRS Fixator (D200 series) in place with Multiplanar Clamp proximally; osteotomy performed.
(b) Initial lengthening to stretch soft tissues slowly.
(c) Acute shortening and angular correction by callus manipulation. Further lengthening as needed.
Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.
Peroneal nerve: no acute correction of valgus deformity, unless preceded by gradual lengthening and acute shortening.
4.2
(a) Very short tibia. LRS Fixator (D200 series) in place; proximal and distal osteotomies.
(b) Simultaneous lengthening at each osteotomy site.
4.2
(a) Very short tibia. LRS Fixator (D200 series) in place; proximal and distal osteotomies.
(b) Simultaneous lengthening at each osteotomy site.
4.1
(a) Short tibia; LRS Fixator (D200 series) in place; metaphyseal osteotomy performed.
(b) Monofocal lengthening.
Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.
4.1
(a) Short tibia; LRS Fixator (D200 series) in place; metaphyseal osteotomy performed.
(b) Monofocal lengthening.
Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.
3.3
Non union of distal tibia using the Sheffield Ring Fixator.
3.3
Non union of distal tibia using the Sheffield Ring Fixator.
3.2
Non union of tibial shaft treated by stabilization and compression using the LRS Fixator (D200 series).
3.2
Non union of tibial shaft treated by stabilization and compression using the LRS Fixator (D200 series).

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