Step by Step High Tibial Osteotomy by Hemicallotasis

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Salient Features This book contains original colored photographs along with radiological photographs of each step self- explain the technique. Summary of surgical steps, protocols and important points mentioned in the last chapter help surgeons to avoid any failure. In addition, to make the technique further easy, movies about the parts of fixator and technique of fixator application have been given. Audiovisual presentation has been given for education to the patients that help them in understanding their problem (i.e. cause of pain due to mechanical axis deviation) and their solution (i.e. realignment of mechanical axis). Table Of Contents1. Introduction Etiology De? nition Technique Indication Selection Criteria Advantages Disadvantages 2. Preoperative Planning Clinical Assessment Local Examination of Knee Joints Radiological Assessment Various Axes Radiographic Classi? cation of Osteoarthritis of Knee Goal Method to Choose the Exact Location of Mechanical Axis Principle Normal Alignment of Lower Limb Malalignment in Medial Compartment Osteoarthritis of Knee Realignment of Mechanical Axis Detection of Excessive Mechanical Axis Deviation Investigations Physiotherapy Medicines to be Stopped Prior to Surgery Informed Consent for Surgery Preoperative Advice One Day Prior to Surgery On the Day of Surgery 3. Description of Fixator Items Used (Manufactured by SH Pitkar) Items Required Dynamic Axial Fixator (Self-adjusting HTO Clamp) 4. Technique of Fixator Application Positioning Scrubbing Draping Assembling of Fixator Application of Schanz Screws Oblique Osteotomy Passing of Guidewire Skin Incision Creating Soft Tissue Tunnel Periosteum Elevation Drilling Osteotomy 5. Postoperative Protocols Antibiotics Pain Relief Exercises X-rays Wound Check and Pin Site Care Discharge from Hospital Distraction First Follow-up Second Follow-up Third Follow-up Stopping Distraction Further Follow-ups Fixator Removal 6. Summary and Important Points Summary of Surgical Steps Important Points Clinical Photographs Summary of Protocols Bibliography Index