Set of surgical instruments for deformity ... - Pega Medical inc.
Set of surgical instruments for deformity ... - Pega Medical inc.
Set of surgical instruments for deformity ... - Pega Medical inc.
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a.<br />
i<br />
a.<br />
ii<br />
FIxator-assIsted naILIng oF a dIstaL FemoraL vaLgus deFormIty:<br />
antegrade technIque<br />
b.<br />
i<br />
b.<br />
ii<br />
a Same de<strong>for</strong>mity as that shown in Fig. 11-18. The osteotomy is<br />
per<strong>for</strong>med in the same way. i, The fixator pins are placed around<br />
the lesser trochanter proximally and around the femoral condyles<br />
distally. ii, An alternative is to place the fixator pins on either side<br />
<strong>of</strong> the planned osteotomy site in the distal flare <strong>of</strong> the femur. The<br />
guidewire is introduced from the piri<strong>for</strong>mis fossa.<br />
d.<br />
c.<br />
i<br />
c.<br />
ii<br />
e. f.<br />
d The fixator is removed, and the nail maintains the correction.<br />
e Interference screws may be used <strong>for</strong> added stability.<br />
f Interference screws are shown in the lateral projection.<br />
a.<br />
ii<br />
b.<br />
ii<br />
b The fixator pin location is posterior. Antegrade reaming is per<strong>for</strong>med.<br />
The reamings pour out the osteotomy site (i and ii).<br />
c The nail is inserted and locked at both ends. The fixator body is<br />
posterior to the femur to keep it out <strong>of</strong> the way <strong>for</strong> imaging and<br />
locking. Locking is per<strong>for</strong>med from the medial side (i and ii).<br />
c.<br />
ii<br />
Fig. 2 a-f
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