Unilateral Fiksatör uygulamalar_

08.10.2013
MONOLATERAL
EKSTERNAL FKSATÖR
UYGULAMALARI
Dr.Mehmet KOCAOLU
Memorial Hospital
Ortopedi & Travmatoloji Bölümü ili-Istanbul
UZATMA
G.C. 13 y K
Op. Coxa Vara
L Femoral Kısalık
(7 cm)
1
08.10.2013
A.M.23y K
L Humeral Kısalık
Epifizit sekeli (8 cm)
2
08.10.2013
27y K
Sol PFFD SEKELİ
10 cm kısalık
10 derece Fleksiyon kontraktürü
Genu valgum deformitesi
3
08.10.2013
DEFORMTE
DÜZELTME
4
08.10.2013
FAN 1
FAN 2
FAN 4
FAN 3
FAN 9
5
08.10.2013
FAN 10
S.Ö.
FAN 11
30 y E
 Sağ kalça malunion
(Varus, fleksiyon, malrotasyon ) ankiloz
 Sağ tibia valgus malunionda uzatma
sekeli
900
870
900
Sağ femur bipoler osteotomi ile deformite düzeltme
Sağ tibia tek seviyeli osteotomi ile deformite düzeltme
FAN
6
08.10.2013
35 y K
RAŞİTİZM SEKELİ
7
08.10.2013
8
08.10.2013
J Bone Joint Surg Br. 2004 Sep;86(7):1065-8.
A correction of windswept deformity by fixator assisted nailing. A report of two cases.
Eralp L, Kocaoglu M, Cakmak M, Ozden VE.
We report two cases with windswept deformities of the lower extremities. All
deformities were corrected by fixator-assisted intramedullary nailing. At the latest
follow-up, the patients had normal alignment, without symptoms and no loss of
correction.
9
08.10.2013
M.K.27 y K
Bilateral İhmal Edilmiş GKD
Kısalık farkı yok Trendelenburg (+)
10
08.10.2013
A.C 52 y E
TK
Op.femur enfekte
nonunion
PSÖDARTROZ
Debridement
+
Bifokal Komp.Distraksiyon
F.M. 65 y K
Gonartroz
Diz TEP
ENFEKTE NONUNION
11
08.10.2013
H.B.39y E
DÜME
Enfekte Nonunion
12
08.10.2013
Debridement
+
Bifokal Komp.Distraksiyon
Eks.Fiks.çıkarma
proflaktik M çivi
ile osteosentez
Lax,Atrofik Nonunion
60y E
TK
+
  7 ay Plak vida osteo.
+
  3 ay eks.fik.
i  nfeksiyon (+)
  adikal debridement
R
 Açık Rep. + Eks.fik.
 Greftleme
13
08.10.2013
Lax, atrofik nonunion
43 y K
TK
 +4 ay
S.Alçı
 +8 ay
Plak-Vida
osteo.
 +12 ay
Kısaltma+ re
Plak-Vida
Osteo.
S.Alçı
Kısaltma+2.Plak-Vida Ost.
+
GREFTLEME
1. Plak-Vida Osteo.
+4 ay
Greftlerin Rezorbsiyonu
+
Plak-Vida Gevşemesi
14
08.10.2013
+ 1 yıl Plak-Vida Çıkarma+Greft
+
Eks.Fik.(monofokal komp.+distr.)
44 y K
TK
+
  7 ay Plak-Vida Ost.
+
  3 ay eks.fik.
i  nfeksiyon (+)
  adikal debridement
R
 Açık Rep. + Eks.fik.
 Greftleme
15
08.10.2013
J Bone Joint Surg Am. 2006 Oct;88(10):2137-45.
Reconstruction of segmental bone defects due to chronic osteomyelitis with use of an
external fixator and an intramedullary nail.
Kocaoglu M, Eralp L, Rashid HU, Sen C, Bilsel K.
SEGMENT TRANSPORT
CONCLUSIONS: This combined method may prove to be an improvement on the
classic techniques for the treatment of a nonunion of a long bone associated with
chronic osteomyelitis, in terms of external fixation period and consolidation index.
The earlier removal of the external fixator is associated with increased patient
comfort, a decreased complication rate, and a convenient and rapid rehabilitation.
6 hafta sonra
25 y K
Akıntı, nonunion, Kısalık
16
08.10.2013
Postop. 4.5 ay
7 cm Uzama
41y K
Enfekte
defekt
nonunion
2. Debridement
Segment transportu
+
İM Çivi üzerinden
Uzatma
Debridement
Antibiyotikli Çimento
17
08.10.2013
J Bone Joint Surg Am. 2007 Oct;89(10):2218-24.
Distal tibial reconstruction with use of a circular external fixator and an intramedullary
nail. The combined technique.
Eralp L, Kocaoglu M, Yusof NM, Bulbul M.
CONCLUSIONS: The combined technique is an improvement over the classic
external fixation techniques of distal tibial reconstruction with ankle arthrodesis. It
reduces the duration of external fixation, thus increasing patient acceptance, and it
is associated with a low complication rate facilitating more rapid rehabilitation.
TRAVMA
Ateşli Silah Yaralanması
Ateşli Silah Yaralanması
18
08.10.2013
Monofokal
Kompresyon-Distraksiyon
Osteogenezi
    TEKNK
19
08.10.2013
#  !
#  "
#  Ekstansiyon efekti
20
08.10.2013
ROTASYONEL DÜZELTME
21
08.10.2013
DİKKATİNİZ İÇİN
ORTHOFIX
LRS
EBI
MONORAIL SYSTEM
TEŞEKKÜR EDERİM
Dr.Mehmet KOCAOĞLU
22