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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Only then is the far cortex divided and the osteotomy completed by osteoclasis. Aging and innate immune cells. It looks like your browser does not have JavaScript enabled.

The X-ray image shows pins located in the firstthird and fifth seats of the clamp with optimal spread. Patient should be involved in daily adjustment of the apparatus.

Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author s and source are credited.

LRS was maintained till radiological sign lds union was obtained at least three out of four cortices united.

Final results of our study is shown in [ Table 4 ]. The tension-stress effect on the genesis and growth of tissues. The monolateral rail fixator has strong appeal for patients otrhofix wish not to be encumbered with a circular fixator on the thigh; however, the facility for deformity correction after lengthening is less and as such the surgical planning technique and after care have to anticipate this factor.


The final outcome was calculated in 28 cases for which final followup was available. De Bastiani G, et al. J Bone Joint Surg Br. Limb Reconstruction System Brochure. The average duration of treatment was 9.

They present with indolent infection, which orthofx almost always associated with deformity, limb length discrepancy, joint stiffness, disuse osteoporosis and soft tissue atrophy. This arrangement of 4 template clamps is not often needed but provides additional stability for lengthening in long femora Fig. Mean residual limb length discrepancy was 1.

Femoral lengthening with a rail external fixator: tips and tricks

The Orthofix Limb Reconstruction System LRS is a series of modular monolateral external fixators to be used in reconstructive procedures for treatment of: The profile of the femur in lateral view is curved, and inserting a series of screws set in line on a straight rail is difficult Fig.

Average duration of treatment was less for humerus mean 6. Obstacles represented difficulties that required an operative intervention. Once radiological union of fracture site was visualized, 4 weeks were given for the consolidation and at the same time the corticotomy site was assessed.

This ensures that prthofix lateral aspect of quadriceps including the iliotibial tract is transfixed in flexion Fig. The sagittal curvature of the femur also varies between individuals; sometimes, it is possible to place all screws comfortably in line without great adjustment to technique.


This is then followed by passing a narrow osteotome that divides the lateral half of the cortical circumference first.

Management of complex long bone nonunions using limb reconstruction system

Out of 30 cases, 28 were males with a mean age of Patients with foreign body sensitivity where material sensitivity is suspected, tests should be made prior to implanting. Innate immunity in aging: LRS was removed as office procedure in minor operation theatre under intravenous sedation.

Understanding the problems that arise during lengthening and adjusting the surgical strategy to minimise their impact underpins a successful lengthening. Veronail Titanium Trochanteric Nail.

Clin Orthop Relat Res. We tried to improve it by passive and active exercises including physiotherapy, but there was no satisfactory improvement. All intraoperative injuries and difficulties during limb lengthening that were not resolved before the end of treatment were considered true complications.

Management of complex long bone nonunions using limb reconstruction system

Completion of the osteotomy is by osteoclasis, often through using a spanner on the handle of the osteotome and twisting it. Average lengthening done was 4. The Ilizarov method in infected nonunion of long bone. This reduces the interference to knee flexion orthofis after surgery.

Orthofix and Limb Reconstruction: Arch Orthop Trauma Surg. General aftercare There are many pin site care regimes and some evidence supporting specific ones.