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.

Author: Bragis Gomuro
Country: Australia
Language: English (Spanish)
Genre: Technology
Published (Last): 9 March 2010
Pages: 219
PDF File Size: 7.72 Mb
ePub File Size: 2.87 Mb
ISBN: 370-4-30144-437-5
Downloads: 93291
Price: Free* [*Free Regsitration Required]
Uploader: Tygojin

Drill guides and drill bits. This may have a negative effect on the ability to lrss with physiotherapy and rehabilitation exercises. Centronail Titanium Femoral Nail. The bone healing index the period for which external fixation is required divided by total gain in length—expressed as days per cm is not a constant figure. Clin Orthop Relat Res. Active and passive mobilization of adjacent joint was encouraged the day following operation.

Received Aug 29; Accepted Oct The last day of the fair at this year’s Medica was also the orthofox J Plast Surg Hand Surg. 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. It is inevitable that some movement is lost, albeit temporarily, during the period of lengthening.

Pages – LRS Pediatric

This shows that ogthofix LRS is a monolateral rail system along which clamps can slide. This shows the box for the Paediatric LRS system. Probable cause for this is one-third of tibia being subcutaneous is more prone to fracture, particularly open fracture.


Positions 1 and 5 are used in the middle and distal clamps. Orhofix each followup appointment, problems of pin tract infection, loosening of pins, bolts, clamps were addressed. Attention to this detail ensures the threaded part of the half-pin engages the widest part of the bone and is thus better able to control it.

Femoral lengthening with a rail external fixator: tips and tricks

These areas are predictably good at regenerate formation and offer a greater bone width in comparison with the diaphysis. Published online Nov 4. Conclusion The rationale and technique for femoral lengthening with a monolateral rail fixator have been described. Skip to main content.

Femoral lengthening with a rail external fixator: tips and tricks

The stability provided through the fixation device irrespective of whether this is external or internal is not static. Among these failed cases, one presented after 19 years of injury distal one-fourth tibia and underwent multiple earlier procedures.

Bifocal femoral lengthening Advantages Shorter healing time The bone healing index the period for which external fixation is required divided by total gain in length—expressed as days per cm is not a constant figure. This arises because of quadriceps transfixation and tethering of the iliotibial band.

But it is difficult to correct three-dimensional deformities with uniplanar external fixator LRS ortthofix Ilizarov fixator. Please enable scripts and reload this page. Moroni A, et al. Lengthening the femur with an external fixator is commonly practised for a wide variety of pathologies.

Limb lengthening can be achieved by bone transport. Ascom appoints Ljubisav Matejevic to lead the Strategic Alliances business.

Management of complex long bone nonunions using limb reconstruction system

Table 2 Details of nonunion. This creates a reasonable level of radial preload by the screw in the cancellous bone, and bonding will occur between it and the HA coating of the screw Fig.


Orthofix hydroxyapatite coated OsteTite bone screws are always to be recommended for limb reconstruction procedures. Orthofix and Limb Reconstruction: Check x-ray was taken at each followup appointment. Find out more and set your cookie preferences here. We tried to improve it by passive and active exercises including physiotherapy, but there was no satisfactory improvement.

We were not able to achieve union in three cases Not infrequently, leg length inequality orthfoix in children because of damage to the distal femoral growth plate. Other two cases were infected nonunion of femur. This may arise from infection, fracture or bone disease.

This article has been cited by other articles in PMC. A Rotational Correction Template.

The basic Ortnofix Technique for the LRS is now described, using as an lre a three clamp assembly for bone transport in a femur with a medium-sized distal defect.

Initially we managed with implant removal, radical debridement and fixed the nonunion with the LRS in operation theatre under all aseptic condition under suitable anesthesia under facility of an image intensifier [ Figure 1 ]. General aftercare There are many pin site care regimes and some evidence supporting specific ones. The distal template is positioned in the usual position for a supracondylar osteotomy.