The Basic Principles of External Skeletal Fixation Using the Ilizarov and Other Devices PDF
Preview The Basic Principles of External Skeletal Fixation Using the Ilizarov and Other Devices
The Basic Principles of External Skeletal Fixation Using the Ilizarov and Other Devices Leonid Nikolaevich Solomin Editor The Basic Principles of External Skeletal Fixation Using the Ilizarov and Other Devices Second Edition Editor Leonid Nikolaevich Solomin, M.D., Ph.D. Professor of Orthopedic Surgery R.R. Vreden Russian Research Institute of Traumatology and Orthopedics St. Petersburg Russia Professor of the Surgery Chair Medical Faculty of Saint Petersburg State University St. Petersburg Russia Honourable Professor of Russian Ilizarov Scientifi c Center “Restorative Traumatology and Orthopedics” Kurgan Russia ISBN 978-88-470-2618-6 ISBN 978-88-470-2619-3 (eBook) DOI 10.1007/978-88-470-2619-3 Springer Milan Heidelberg New York Dordrecht London Library of Congress Control Number: 2012956313 © Springer-Verlag Italia 2008, 2012 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) This book is devoted to our Teachers. This book is intended for those, who got connected with the External Fixation and still have a desire to learn it in such a way as to improve it. Foreword Basic Principles of External Fixation, now in its second edition, has become a standard textbook for those interested in external fi xation. The second edition extends well beyond the Ilizarov technique and its technology and now includes advances such as six-axis deformity correction. There are also new applications for the treatment of the spine, which is not usually considered for external fi xation, and for cosmetic surgery of the limbs. In expanding on the fi rst edition, Solomin has not only updated his vast contributions but has also added new material by numerous other authors, from Russia and around the world. No other book on external fi xation is as comprehensive as this one. Solomin is to be congratulated for his efforts in recognizing the need for a new edition even though the previous one is by no means out of date. Indeed, this second edition reminds us that external fi xation is an ever-evolving technology and that to stay current requires fresh, authoritative, and instructive publications such as this one. Dror Paley, M.D., FRCSC Director of Paley Advanced Limb Lengthening Institute West Palm Beach, Florida, USA vii Dear Colleagues! With this book, the authors have provided a resource that allows readers to fully explore the techniques and applications inspired by the method of the academician G.A. Ilizarov. Ilizarov’s genius was to create not only a methodology and the equipment to carry it out, but also to set forth a unique philosophy that quickly found support and further development from experts all over the world. Thus, distraction osteogenesis, management of the regeneration and morpho- genesis of body tissues, the use of minimally invasive techniques, the stability of bone-frag- ment fi xation, and the importance of early weight-bearing revolutionized orthopedic surgery in the 20th century. These original approaches have continued to undergo re fi nement and modi fi cation during the third millennium. Of equal importance with the Ilizarov approach is the understanding that the role of external fi xation is not as an absolute alternative to other forms of treatment, but as a primary method that is deeply integrated with other aspects of orthopedic surgery. An essential requirement of any orthopedist performing external fi xation is that he or she must have suf fi cient skills to recognize and manage possible complications, including non-unions and osteomyelitis. This manual is therefore an invaluable source of ideas and inspiration for experts who are able to “think outside the box”; that is, who have the ability to exploit the many possibilities of the Ilizarov approach to treat a wide variety of orthopedic pathologies. External fi xation is a method of a thousand permutations and as such often requires the willingness to improvise, while using the algorithms, advice, and recommendations provided in this monograph as guid- ance. Like a game of chess, for each patient there are a typically a large number of subsequent moves, e.g., regarding the details of the frame, that follow once the initial structure is chosen. To learn the “rules of the game” to avoid the mistakes made by several generations of orthope- dists, and to not box oneself into an orthopedic “checkmate in three moves” is why this book has been written. Alexander V. Gubin, M.D., Ph.D. Director of the Russian Ilizarov Scientifi c Center for Restorative Traumatology and Orthopedics Kurgan, Russia ix
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