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TIBIA 6.1
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
TIBIA 6.2
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
TIBIA 6.3
6.3
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect. Distal syndesmosis screw.
6.3
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect. Distal syndesmosis screw.
TIBIA 6.4
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
TIBIA 6.5
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
TIBIA 6.1
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
TIBIA 6.2
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
TIBIA 6.3
6.3
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect. Distal syndesmosis screw.
6.3
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect. Distal syndesmosis screw.
TIBIA 6.4
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
TIBIA 6.5
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.