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High Tibial Osteotomy by Hemicallotasis
Ajit Kumar Mehta, Mangal Parihar
1:
Introduction
ETIOLOGY
DEFINITION
TECHNIQUE
INDICATION
SELECTION CRITERIA
ADVANTAGES
DISADVANTAGES
2:
Preoperative Planning
CLINICAL ASSESSMENT
Local Examination of Knee Joints (Table 2.1)
RADIOLOGICAL ASSESSMENT
Various Axes (Fig. 2.3)
Vertical Axis of Body
Mechanical Axis of lower limb
Mechanical Axis of Femur
Anatomic Axis of Femur (Femoral Shaft Axis)
Mechanical/Anatomic Axis of Tibia
Radiographic Classification of Osteoarthritis of Knee (Table 2.2)
GOAL
Method to Choose the Exact Location of Mechanical Axis
PRINCIPLE
Normal Alignment of Lower Limb (Figs 2.6 and 2.7)
Malalignment in Medial Compartment Osteoarthritis of Knee (Fig. 2.8)
Realignment of Mechanical Axis (Figs 2.9A and B)
Detection of Excessive Mechanical Axis Deviation
INVESTIGATIONS
PHYSIOTHERAPY
MEDICINES TO BE STOPPED PRIOR TO SURGERY
INFORMED CONSENT FOR SURGERY
PREOPERATIVE ADVICE
One Day prior to Surgery
On the Day of Surgery
3:
Description of Fixator
ITEMS USED (MANUFACTURED BY SH PITKAR)
ITEMS REQUIRED
DYNAMIC AXIAL FIXATOR (SELF-ADJUSTING HTO CLAMP)
4:
Technique of Fixator Application
POSITIONING
SCRUBBING
DRAPING
ASSEMBLING OF FIXATOR
APPLICATION OF SCHANZ SCREWS
OBLIQUE OSTEOTOMY
Passing of Guidewire
Skin Incision
Creating Soft Tissue Tunnel
Periosteum Elevation
Drilling
Osteotomy
5:
Postoperative Protocols
ANTIBIOTICS
PAIN RELIEF
EXERCISES
X-RAYS
Wound Check and Pin Site Care
Discharge from Hospital
DISTRACTION
First Follow-up
Second Follow-up
Third Follow-up
STOPPING DISTRACTION
Further Follow-ups
Fixator Removal
6:
Summary and Important Points
SUMMARY OF SURGICAL STEPS
IMPORTANT POINTS
CLINICAL PHOTOGRAPHS
Bibliography
INDEX
TOC
Index
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