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Monolateral Bifocal ExFix For Correction of Angular Deformities. Julio de Pablos
Monolateral Bifocal ExFix For Correction of Angular Deformities. Julio de Pablos
Monolateral
Bifocal ExFix
in Angular Deformities
Julio de Pablos
Hospital de Navarra y
Hospital San Juan de Dios
Pamplona
v Segmental defects
- Bone Transport
v Angular correction
§ Multiapical deformities
§ Uni/multiapical def. + shortening
Patients
v Multiapical Def.
v AD +shortening
v Etiology
§ Postrauma
§ Infection
§ Congenital
§ Surgical comp.
Patients
v Multiapical Def.
v AD +shortening
v Etiology
§ Postrauma
§ Infection
§ Congenital
§ Surgical comp.
Distractors
vLRS Orthofix®
vWagner® modified
Strategies
3 4
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S.A.S
.
326/98
0 335
Lengthening
Over a
Nail
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3 cm F.E Bifocal
JRC
HN 365255
Varón 29 años
VL+ acortamiento
postraumático
PREOP
Other Strategies
Of Correction
+ 8m
37 m postop
20º VR
2º VR
Final remaks
• Useful Technique
• Specific Indications
• ExFix experience
• systems
• possibilities
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F.E Bifocal
Recomendations
Recomendations
• Planning
• ExFix Stable & Versatile
• 3 independent pin sets
• Orthogonal Configuration
• Progressive Angular Correction
• Avoid too agressive corrections
(No problem with initial loss of length)