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Radiological Assessment and Planning of Deformities

Volume 10 | Issue 2 | May-August 2024 | Page: 12-17 | Sudhanshu Bansal, Gaurav Gupta, Deepak Khurana DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.184 Submitted: 05/03/2024; Reviewed: 02/04/2024; Accepted: 15/05/2024; Published: 10/08/2024 Authors: Sudhanshu Bansal MS Ortho [1], Gaurav Gupta MS Ortho [2], Deepak Khurana MS Ortho [3] [1] Department of Paediatric Orthopaedic Surgery, CODS Clinic, Ludhiana, Amandeep Hospital, […]

Basics of Paediatric Limb Reconstruction Surgeries

Volume 10 | Issue 2 | May-August 2024 | Page: 2-11 | Prateek Rastogi, Nitish Arora, Yogesh Patel DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.182 Submitted: 18/05/2024; Reviewed: 14/06/2024; Accepted: 19/07/2024; Published: 10/08/2024 Authors: Prateek Rastogi MS Ortho [1], Nitish Arora MS Ortho [2], Yogesh Patel MS Ortho [3] [1] Department of Orthopaedics, Sharda Hospital, Greater Noida, Uttar Pradesh, India. […]

Radiological Assessment and Planning of Deformities

Basics of Paediatric Limb Reconstruction Surgeries

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Radiological Assessment and Planning of Deformities

Volume 10 | Issue 2 | May-August 2024 | Page: 12-17 | Sudhanshu Bansal, Gaurav Gupta, Deepak Khurana

DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.184

Submitted: 05/03/2024; Reviewed: 02/04/2024; Accepted: 15/05/2024; Published: 10/08/2024

Authors: Sudhanshu Bansal MS Ortho [1], Gaurav Gupta MS Ortho [2], Deepak Khurana MS Ortho [3]

[1] Department of Paediatric Orthopaedic Surgery, CODS Clinic, Ludhiana, Amandeep Hospital, Amritsar, Punjab, India.
[2] Department of Paediatric Orthopaedic Surgery, Child Ortho Clinic, Delhi-NCR, India.
[3] Department of Paediatric Orthopaedic Surgery, JCPODS, Jeevan Rekha hospital, Jaipur, Rajasthan, India.

Address of Correspondence

Dr. Sudhanshu Bansal,
Consultant, Paediatric Orthopaedic Surgeon, CODS Clinic, Ludhiana, Amandeep Hospital, Amritsar, Punjab, India.
E-mail: drbansalsudhanshu@gmail.com

Abstract

Deformity correction is a fundamental aspect of orthopedic surgery, requiring a precise radiological assessment and systematic planning. This article provides an indepth overview of the radiological modalities available for deformity assessment, including X-rays, scannograms, computed tomography (CT), and magnetic resonance imaging (MRI). Proper radiographic techniques, such as standing fulllength X-rays and scannograms, are critical for accurate limb alignment assessment. Advanced imaging modalities, including CT and MRI, are necessary in cases of complex deformities or rotational abnormalities. Furthermore, various software applications are available for preoperative deformity planning, enabling precise correction strategies. This article also addresses approaches for managing deformities in limited-resource settings, emphasizing cost-effective and accessible imaging techniques. The objective is to enhance clinical decisionmaking and optimize surgical outcomes in deformity management.
Keywords: Alignment, Anatomic tibiofemoral angle, Deformity, Knee, Lower limb alignment, Mechanical axis angle, Radiography

References

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16. Buck FM, Guggenberger R, Koch pp, Pfirrmann CWA. Femoral and tibial torsion measurements with 3D models based on low-dose biplanar radiographs in comparison with standard CT measurements. AJR Am J Roentgenol 2012;199:W607–W612.
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How to Cite this Article: Bansal S, Gupta G, Khurana D | Radiological Assessment and Planning of Deformities | International Journal of Paediatric Orthopaedics | May-August 2024; 10(2): 12-17. https://doi.org/10.13107/ijpo.2024.v10.i02.184

(Article Text HTML) (Full Text PDF)

Basics of Paediatric Limb Reconstruction Surgeries

Volume 10 | Issue 2 | May-August 2024 | Page: 2-11 | Prateek Rastogi, Nitish Arora, Yogesh Patel

DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.182

Submitted: 18/05/2024; Reviewed: 14/06/2024; Accepted: 19/07/2024; Published: 10/08/2024

Authors: Prateek Rastogi MS Ortho [1], Nitish Arora MS Ortho [2], Yogesh Patel MS Ortho [3]

[1] Department of Orthopaedics, Sharda Hospital, Greater Noida, Uttar Pradesh, India.
[2] Department of Orthopaedics, Medicover Hospital, Khargar, Navi Mumbai, Maharashtra, India.
[3] Department of Orthopaedics, Sagar Multispeciality Hospital, Bhopal, Madhya Pradesh, India.

Address of Correspondence

Dr. Prateek Rastogi,
Paediatric Orthopaedics and Limb Reconstruction Surgeon, Department of Orthopaedics, Sharda Hospital, Greater Noida, Uttar Pradesh, India.
E-mail: prateek.rastogi12@gmail.com

Abstract

Paediatric limb reconstruction surgeries play a pivotal role in managing congenital and acquired deformities, limb length discrepancies, and complex musculoskeletal disorders in children. These procedures aim to restore alignment, function, and length while preserving growth potential and minimizing long-term disability. Unlike adult cases, paediatric reconstructions demand unique considerations due to ongoing skeletal development, necessitating precise planning to avoid growth plate damage. This review outlines the evolving indications for reconstruction—including congenital conditions like various hemimelia and bony deficiency, as well as acquired deformities from trauma, infection, and tumors. Foundational principles such as anatomical and mechanical axes and their deviation, CORA (Center of Rotation of Angulation), and ACA (Angulation Correction Axis) are discussed alongside osteotomy planning and execution. Techniques of gradual deformity correction such as growth modulation, and distraction osteogenesis are examined in depth, highlighting the roles of devices like Ilizarov fixators, hexapods, and intramedullary lengthening nails. Recent advancements in imaging, surgical planning, and implant design have significantly improved outcomes, although complications such as joint stiffness, infection, and secondary deformities persist. With increasing precision and a growing array of tools, paediatric limb reconstruction continues to evolve, offering promising outcomes and functional restoration to affected children.
Keywords: Paediatric limb reconstruction, Deformity Correction, Limb Lengthening, Growth Modulation, Distraction Osteogenesis, Osteotomy Techniques

References

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How to Cite this Article: Rastogi P, Arora N, Patel Y| Basics of Paediatric Limb Reconstruction Surgeries| International Journal of Paediatric Orthopaedics | May-August 2024; 10(2): 02-11. https://doi.org/10.13107/ijpo.2024.v10.i02.182

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Radiological Assessment and Planning of Deformities

Basics of Paediatric Limb Reconstruction Surgeries

Radiological Assessment and Planning of Deformities

Basics of Paediatric Limb Reconstruction Surgeries

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Radiological Assessment and Planning of Deformities

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Basics of Paediatric Limb Reconstruction Surgeries

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