Background and purpose - Hexapod ring fixators such as the Taylor Spatial Frame (TSF) have shown good outcomes. However, there have only been a few studies comparing the use of TSF with various etiologies of the deformity. We compared the use of TSF in congenital and acquired deformities in children. Patients and methods - We reviewed 213 lower extremity reconstructive procedures with the TSF i...

An adolescent boy with spastic diplegic cerebral palsy presented with crouch gait. He had bilateral severe flexion deformities of knees and hips. He was treated with single event multilevel surgery for the correction of deformities. Surgical procedures included bilateral adductor release, iliopsoas lengthening, bilateral femoral shortening and patella plication. Persistent hypertension was note...

Limb reconstruction surgery is an emerging subspecialty. In the past year, 5 major events highlighted the growing interest in this field. The first combined meeting of the 3 international societies devoted to the study and advancement of limb lengthening and reconstruction—the Association for the Study and Application of the Methods of Ilizarov (ASAMI) International, the Limb Lengthening and Re...

introduction: complicated crown- root fractures, extended caries and iatrogenic destruction often result in insufficient sound tooth structures and compromise the biologic width. two common options for re-establishing flap with osseous surgery. although some advantages are related to these two options, but coronal movement of gingival and alveolar bone in orthodontic extrusion, esthetic problem...

BACKGROUND Tibial lengthening is frequently associated with gastrocsoleus contracture and some patients are treated surgically. However, the risk factors associated with gastrocsoleus contracture severe enough to warrant surgery during tibial lengthening and the consistency with which gastrocsoleus recession (GSR) results in a plantigrade foot in this setting have not been well defined. QUEST...

the development and widespread use of a prophylactic vaccine significantly reduced the incidence of poliomyelitis. at present we more commonly encounter with poliomyelitis sequelae especially in developing countries. we evaluate the results of a modified innominate osteotomy for leg length discrepancy in poliomyelitis. instead of triangular bone graft as in salter’s innominate osteotomy , a tra...

After preliminary experimental study the bone plasty with vascularised fibular graft was performed to 9 patients distal femur defects from 1 18 cm. Taking into account advantages and shortcoming of procedure several variants for transposition grafts were elaborated. They included gradual lengthening vascular pedicle, use doubled increase mechanical strength. In all restoration weight-bearing ab...

BACKGROUND Leg length discrepancy (LLD) after total hip arthroplasty (THA) is a significant factor of patient dissatisfaction. Patients with dissociation between preoperative radiographic LLD and perceived LLD sometimes feel LLD postoperatively even if bilateral leg lengths are equal. There is no publication describing how to decide the amount of leg lengthening in such cases. PURPOSE By exam...