Management of Osseous Defects of the Tibia Utilizing Orthofix Hexapod Circular External Fixator: A Technique Guide-An Orthoplastic Approach for Combined Soft Tissue and Osseous Defects

Lauren L Schnack; Stephanie Oexeman; Edgardo R Rodriguez-Collazo

doi:10.1016/j.cpm.2021.09.003

Management of Osseous Defects of the Tibia Utilizing Orthofix Hexapod Circular External Fixator: A Technique Guide-An Orthoplastic Approach for Combined Soft Tissue and Osseous Defects

Clin Podiatr Med Surg. 2021 Jan;38(1S):e44-e58. doi: 10.1016/j.cpm.2021.09.003.

Authors

Lauren L Schnack¹, Stephanie Oexeman², Edgardo R Rodriguez-Collazo³

Affiliations

¹ CPME Postdoctoral Fellowship, Complex Deformity Correction & Limb Reconstruction, American Microsurgical Orthoplastic Society, AMITA Health - Saint Joseph Hospital Chicago, 2913 N Commonwealth Avenue, Podiatry Fellowship Office, Suite 425, Chicago, IL 60657, USA. Electronic address: laurenlschnackdpmms@gmail.com.
² AMITA Health - Saint Joseph Hospital Chicago, 2913 N Commonwealth Avenue, Suite 425, Chicago, IL 60657, USA.
³ CPME Postdoctoral Fellowship, Complex Deformity Correction & Limb Reconstruction, Adults & Pediatric Ilizarov Limb Deformity Correction, Peripheral Nerve Reconstructive Microsurgery, American Microsurgical Orthoplastic Society, Department of Surgery, AMITA Health - Saint Joseph Hospital Chicago, 2913 North Commonwealth Avenue, Laboure Outpatient Clinic, Chicago, IL 60657, USA.

PMID: 35101241
DOI: 10.1016/j.cpm.2021.09.003

Abstract

Malunions, nonunions, avascular necrosis, neoplasms, and osteomyelitis of the tibia can be difficult limb salvage cases to manage, especially when large bone defects are present. This article aims to demonstrate the orthoplastic limb salvage options that the authors use with bone transport using the Orthofix TrueLok-Hexapod system (Orthofix Medical Inc, Lewisville, TX, USA).

Keywords: Bone lengthening; External fixation; Hexapod; Lengthening; Limb salvage; Open fracture; Osteomyelitis; Tibia.

Publication types

Review

MeSH terms

External Fixators
Humans
Osteomyelitis*
Tibia
Tibial Fractures* / diagnostic imaging
Tibial Fractures* / surgery
Treatment Outcome