Como evitar Adlatum en las osteotomias con Fijacion Externa Monolateral

Abstract

Medial or lateral epiphyseal displacement –ad latum– is an undesired problem that alters the mechanical axis of the limb in progressive corrections of angular deformities by osteotomies with monolateral external fixation devices.The authors explain this phenomenon in anatomical models and propose a simple technical recommendation to avoid it. Technique. After a proper placement of the screws , the epiphyseal head of the external fixator is not fully tightened in order to allow the sliding of the screws that are inserted into the epiphysis in the clamp of the device. Conclussion. This simple recommendation avoids the undesired ad latum effect when performing an osteomy and gradual correction with monolateral external fixation.and survival status. Combined with current hip fracture management guidelines, exchange perioperative management and postoperative rehabilitation experience.