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Fixation and Sectioning01:03

Fixation and Sectioning

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Two basic types of preparation are used to visualize specimens with a light microscope: wet mounts and fixed specimens.
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
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Revision hallux valgus: causes and correction options.

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Fixation updates for hallux valgus correction.

Rotem Ben-Ad1

  • 1University Foot and Ankle Institute, 2121 Wilshire Boulevard, Suite 101, Santa Monica, CA 90403, USA.

Clinics in Podiatric Medicine and Surgery
|April 2, 2014
PubMed
Summary

Various fixation methods exist for hallux valgus correction, with both traditional and modern techniques offering successful outcomes. Bone screws and locking plates provide stable fixation, promoting healing and enabling earlier weight-bearing post-surgery.

Keywords:
BunionFixationHallux valgusKirschner wirePlateScrewStaple

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Area of Science:

  • Orthopedic surgery
  • Podiatric surgery
  • Surgical fixation techniques

Background:

  • Hallux valgus correction involves various surgical fixation methods.
  • Traditional techniques like Kirschner wires and cerclage wiring remain relevant for specific osteotomies and fusions.
  • Advancements in fixation devices offer improved outcomes and patient recovery.

Purpose of the Study:

  • To review and compare different fixation options for hallux valgus correction.
  • To highlight the advantages of modern fixation techniques.
  • To discuss the role of various implants in achieving stable bone healing and early mobilization.

Main Methods:

  • Review of current literature on fixation methods for hallux valgus.
  • Analysis of biomechanical properties and clinical outcomes associated with different implants (wires, staples, screws, plates).
  • Evaluation of fixation stability, compression, and impact on bone healing and weight-bearing.

Main Results:

  • Kirschner wires and cerclage wiring are effective for specific osteotomies and fusions, contingent on bone quality.
  • Staple fixation allows for surgeon-applied compression.
  • Bone screws offer highly stable fixation, facilitating primary bone healing through interfragmentary compression.
  • Rigid locking plates enable early weight-bearing after fusion procedures.

Conclusions:

  • The choice of fixation for hallux valgus correction should be tailored to the specific procedure and patient factors.
  • Modern fixation devices, such as bone screws and locking plates, offer enhanced stability and promote faster recovery.
  • A range of fixation options, from traditional wires to advanced plates, are available to achieve successful hallux valgus correction.