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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Deformation of Member under Multiple Loadings01:11

Deformation of Member under Multiple Loadings

When a rod is made of different materials or has various cross-sections, it must be divided into parts that meet the necessary conditions for determining the deformation. These parts are each characterized by their internal force, cross-sectional area, length, and modulus of elasticity. These parameters are then used to compute the deformation of the entire rod.
In the case of a member with a variable cross-section, the strain is not constant but depends on the position. The deformation of an...

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Pediatric deformity correction using a multiaxial correction fixator.

James J McCarthy1, Ashish Ranade, Richard S Davidson

  • 1American Family Children Hospital, Madison, WI, USA. mccarthy@orthorehab.wisc.edu

Clinical Orthopaedics and Related Research
|September 16, 2008
PubMed
Summary
This summary is machine-generated.

A new monolateral external fixator effectively corrected lower extremity deformities in children. This device achieved normal radiographic alignment with few complications, offering a less cumbersome alternative to circular fixators.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Biomedical engineering

Background:

  • Circular fixators are used for multiplanar deformities but can be cumbersome.
  • A need exists for simpler, effective external fixation devices.

Purpose of the Study:

  • To evaluate the efficacy of a novel multiaxial monolateral external fixator for correcting lower extremity deformities in children.
  • To assess if the fixator can achieve normal radiographic parameters.

Main Methods:

  • Retrospective review of 22 pediatric patients (25 limbs) aged 4-16 years.
  • Correction of angular deformity and displacement in three planes using the monolateral fixator.
  • Minimum 1.2-year follow-up (mean 2.14 years).

Main Results:

  • Significant improvements in radiographic alignment (anatomic lateral distal femoral angle, anatomic medial proximal tibial angle, tibial femoral angle).
  • Patients with Blount's disease showed notable improvement in the mean anatomic medial proximal tibial angle.
  • Five patients experienced complications; six developed secondary deformities, all corrected.

Conclusions:

  • The multiaxial monolateral external fixator can successfully correct lower extremity deformities in pediatric patients.
  • The device offers satisfactory results with a manageable complication profile.
  • It presents a viable alternative to traditional circular fixators.