[Correction of lower limb deformity by using an expandable nail system. Adaption of osteosynthesis to dystrophe soft-tissue situation].
Operative procedures on the lower limb demand crucial handling of the surrounding soft tissues. Otherwise skin necrosis may develop and in cases of overlapping to the bone there is a risk of osteitis. Therefore the operative treatment requires an approach which reduces operative trauma to a minimum. However, in some cases even a minimal incision is too traumatic. The case we present, describes the use of an expandable nail-system to correct a valgus deformity in a lower limb, years after radiation therapy for synovial sarcoma. The distinctiveness in this case is the dystrophic skin after irradiation and the surgical options for correction.
Weber
O
O
Klinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Bonn, Sigmund-Freud-Strasse 25, 53107 Bonn. olwebo@gmx.de
Florczyk
A
A
Pittlik
N
N
Burger
C
C
Müller
M
M
Kabir
K
K
Rangger
C
C
Wirtz
D C
DC
D000368:Aged; D016512:Ankle Injuries / Q000601:surgery*; D017760:Bone Malalignment / Q000601:surgery*; D001858:Bone Nails; D001859:Bone Neoplasms / Q000532:radiotherapy* / Q000601:surgery*; D001864:Bone Wires; D004867:Equipment Design; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011542:Pseudarthrosis / Q000601:surgery*; D011832:Radiation Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D013584:Sarcoma, Synovial / Q000532:radiotherapy* / Q000601:surgery*; D013977:Tibia / Q000528:radiation effects* / Q000601:surgery*; D013978:Tibial Fractures / Q000601:surgery*