Management of Lower Limbs Deformity Rajendra Kumar Kanojia
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1Step by Step®: Management of Lower Limbs Deformity2
Step by Step®: Management of Lower Limbs Deformity
Rajendra Kumar Kanojia MBBS MS (Ortho) DNHE Assistant Professor Department of Orthopaedics Postgraduate Institute of Medical Education and Research (PGIMER) Chandigarh, India
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Step by Step® Management of Lower Limbs Deformity
© 2009, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2009
9788184486315
Typeset at JPBMP typesetting unit
Printed at Printed bound in India
4
To
My father
(Late) Shri DL Kanojia
who is like a torch-house to my life a very simple man with high thinking always wanted me to do all hard work as he used to say the one who reaches the heights is not always the one who is strong but the one who works in the right direction and hard to get that fulfilled…
and
My mother
Smt RP Kanojia
who is a real fighter against all odds
and
All my teachers
for making me capable of doing the same…
5PREFACE
While working in different hospitals of multiple levels from primary health centers to the tertiary centers of excellence, I found management of trauma, fracture care and the handling of fracture disease has not gained attention within the time of an unsaid golden hour, that is before the development of deformity, nonunion or malunion, which could have been prevented and corrected during the initial management at trauma centers. Primary health centers are not well equipped for managing the compound fractures, and higher centers are not very much attentive towards these cases.
Deformity in any form, especially of lower limbs, is unproductive to the society as a whole.
The Step-by-Step Management of Lower Limbs Deformity is my effort to bring attention towards it and fulfil the basic need of the hour in trauma care.
Different chapters, diagrams, photographs help in the understanding of the problem.
I have tried to include the best information in this book, but nothing is complete. I welcome all sorts of suggestions, ideas and after all appreciation too.
Rajendra Kumar Kanojia
6Memorable Moments
WOC-SICOT Fellowship of Indian Orthopaedic Association, 2008 at Bengaluru, Karnataka, India
Book Release on Backache for common people and practitioners by the President of Indian Orthopaedic Association, Prof SC Goel, at Bengaluru, Karnataka, India
7ACKNOWLEDGEMENTS
This small bundle of words and photographs combine the efforts of my seniors, friends and my very dear juniors. Above all, this is the token of respect to my patients without whom I could not have done this.
This being a Step by Step Management of Lower Limbs Deformity, it was difficult to include the vast topic of deformity correction in few pages. I have tried my best to cover the important and necessary basic points in this book, but I also tried to leave the few to my seniors, and other authors for further elaboration.
Deformity correction after valuable contribution of Dr Dror Paley, by giving us the concept of Center of Rotation Angulation (CORA), has gained its momentum. Dr Mangal Parihar, Dr GS Kulkarni and few other surgeons from abroad have helped by giving different lines and various angles of deformity correction. They are the leaders of the overall advancements in the field. I have learned a lot of things from them and acknowledge the same.
I would be failing in my duties if I will not acknowledge the blessings given to me by Prof ON Nagi; because of him, my career could get a shape.
I am thankful to Prof MS Dhillon, Head, Department of Orthopaedics, PGIMER, Chandigarh, for his being 8the source of encouragement for the academics; exposing me to the advancements in the new fields of orthopaedics and guiding me from the front.
I would like to thank Prof SS Gill for his continuous support and guidance, Prof Raj Bahadur for his inspirational backing and Dr Ramesh Sen for being representing and guiding towards the science of orthopaedic teaching.
My wife, Dr Neena, my true love and better half; son, Kumar Harsh, the little genius in computers, with all his advices I could work on these modern gadgets and my loving son, Kumar Shrey, along with my mother and entire family who had been the backbone in all my efforts, deserve more than mere appreciation.
My sincere thanks to all those who have helped me at any point of time.
My sincere thanks to Shri Jitendar P Vij (Chairman and Managing Director), Mr Tarun Duneja (Director–Publishing), Samina Khan (PA to Director-Publishing), Tabassum (DTP Operator), Gopal Singh (DTP Operator) Sangeeta Kaintura (Proofreader), Manoj Pahuja (Graphic Designer) and all helping hands.
At last, I pray to the God Almighty for the well-being of my patients, my family and friends.