6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.3
(a) Large peripheral bony defect; LRS ADVanced (53000 series) in place.
(b) Two osteotomies performed in the longer bone fragment.
(c) Simultaneous proximal transport with both internal clamps moved proximally until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.3
(a) Large peripheral bony defect; LRS ADVanced (53000 series) in place.
(b) Two osteotomies performed in the longer bone fragment.
(c) Simultaneous proximal transport with both internal clamps moved proximally until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.1
(a) Large distal defect in the tibia; LRS Fixator (D200 series) in place.
Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs.
(c) Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.2
(a) Large central bony defect; LRS Fixator (D200 series) in place.
(b) Proximal and distal osteotomies.
(c) Simultaneous proximal and distal transport until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.3
(a) Large peripheral bony defect; LRS ADVanced (53000 series) in place.
(b) Two osteotomies performed in the longer bone fragment.
(c) Simultaneous proximal transport with both internal clamps moved proximally until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.3
(a) Large peripheral bony defect; LRS ADVanced (53000 series) in place.
(b) Two osteotomies performed in the longer bone fragment.
(c) Simultaneous proximal transport with both internal clamps moved proximally until gap closed.
Caution: Where lengthening is involved, resect at least 1 cm of fibula; distal syndesmosis screw.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.4
(a) Small distal defect in the tibia. LRS Fixator (D200 series) in place.
(b) Immediate compression distally between middle and distal clamps; proximal osteotomy.
(c) Lengthening at proximal osteotomy site until length restored.
Caution: Remove segment of fibula at least 1 cm longer than defect.
Distal syndesmosis screw.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
6.5
Bone loss treated with TK-IIizarov Fixator.
(a) Distal defect in the tibia; TK-IIizarov Fixator in place. Proximal metaphyseal osteotomy.
(b) Middle segment moved distally until docking occurs. Optional additional lengthening proximally if indicated.
Caution: Where lengthening is involved, resect at least 1 cm of fibula.
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