When deformity is seen in the Tibia in both planes of an x-ray or when there is a combination of angular & rotational deformities or when there is angular/rotational deformity coupled with shortening, treatment strategies are discussed to give the most comprehensive possible treatment to the patient.
Fixator Assisted nailing is a exciting new modality being practiced in our center from 1994 in which the main aim is to perform complex deformity corrections and limb lengthening with either 1) Reduction of external fixation time usage or 2) elimination of the external fixator completely. This is a great advance in patient care and has greatly enhanced patient comfort and tolerance of these difficult procedures. Our center uses high technology and special instruments along with a lot of experience to make it a daily reality.
Knock Knee deformities are caused by deformed femora just above the knee or deformed tibiae or both. Techniques for correction involve either external fixation devices like the Ilizarov or the software controlled TSF fixator or fixator assisted nailing and plating surgeries which do away with the need for external fixation devices completely.
This is the prestigious “Veteran Surgeons Forum” lecture delivered by Dr Chaudhary at the WIROC (Western India Regional Orthopedic Conference) in Dec 2014. This describes the journey started by him in 1994 to perform lengthening and deformity correction using patient friendly Internal fixation devices. Many of the techniques are unique and have been devised by him. Greatest benefit of these techniques are to the patient who has to wear the external fixation devices for a lesser duration.
4G Deformity Correction
Surgical Tools for deformity correction : Ilizarov & beyond
Cheat Sheet for understanding translations in deformity correction
Our center has a very great experience and interest in the treatment of lower limb problems caused by Poliomyelitis. Common surgeries like Limb Lengthening, SupraCondylar Osteotomies, Ankle Arthrodesis are discussed using new methods which allow patients to walk longer without getting tired and in some cases without any walking aids as well.
Bowleg deformities can be caused by deformed femora or deformed tibiae (shin bones) or both. Techniques for correction involve either external fixation devices like the Ilizarov or the software controlled TSF fixator or fixator assisted nailing and plating surgeries which do away with the need for external fixation devices completely.
Double Level Fixator Assisted Nailing
Fixator assisted nailing of deformities and to perform limb lengthening over a nail are well known. Occassionally two tasks need to be performed in the same segment: i.e. lengthening and correction of a bony deformity. Or correction of a coronal plane deformity at one level ( valgus at supra-condylar level) with correction of Porcurvatum at upper level. the second deformity may or may not be very obvious. With some ingenuity and modifications to the IM nails, a double level procedure can be done to achieve two tasks.
We corrected severe bowleg deformity in a 10 year old with Blount’s disease. The disease is not common in India and hence this young man could not be diagnosed or treated for a very long time despite approaching the best hospitals. We treated him with the software controlled TSF fixator with a double osteotomy.