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Re: Деформация голеней
T. Derek V. Cooke 12 Сентябрь 2005, 21:48
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Hello Mangal:
Very nice correction but, to my eye there is some 'over' correction of the tibia, now in some proximal valgus?
What is the hka?
What about the P/F joint orientation.
Alex, with your permission I will run our alignment analaysis program on your long leg views and give you some correction options?
Regards
Derek
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Re: Деформация голеней
Alexander Chelnokov 12 Сентябрь 2005, 22:01
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TDVC> Alex, with your permission
No permission required. You have your own copies of images and may
do anything without any harm to originals ;-)
TDVC> I will run our alignment analaysis program on your long leg
TDVC> views and give you some correction options?
It is very interesting! Pls do, it will be greatly appreciated.
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Re: Деформация голеней
Отправитель: T. Derek V. Cooke 13 Сентябрь 2005, 23:51
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Hello Alex:
Thanks for the clinical photo.
Your patient appears to have "Insquinting Knees"?
I am attaching a word doc with a 'print screen' of the program in use, showing the images being viewed and analysed
. On the right leg you can see some of the tools (from the tool bar above) applied to demonstrate a mild mech-axis varus of about 5 degrees.
On the left the bone landmarks used in the anlaysis are shown.
The data for the analysis are in the XLs sheet below, exported from the program automatically.
I have given a label of the abreviations and some normative values.
In essence she has a mild mech-axis varus of 7 degrees with some contribution from the femur (2) degrees and more from the tibia (6 degrees), none from the joint.
The analysis took about 6 mins.
Regards
Derek
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Re: Деформация голеней
Отправитель: Alexander Chelnokov 14 Сентябрь 2005, 00:00
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TDVC> Your patient appears to have "Insquinting Knees"?
Exactly.
TDVC> In essence she has a mild mech-axis varus of 7 degrees
TDVC> with some contribution from the femur (2) degrees and more from
TDVC> the tibia (6 degrees), none from the joint.
And what is conclusion? Should it be corrected, by what means, at what level, to what axis, with what lateral/medial translation?
TDVC> The analysis took about 6 mins.
THX to all people discussed the case.
Yesterday i performed correction of one leg (the plan to make both in one session was cancelled because of some external reasons). Suggestions of Nuno Lopes were most close to my view. A small wire distractor was used intraoperatively. Derotation ~6-7 degrees was performed also. CT scans evaluating rotation will be available only
tomorrow. No problem to change rotation of the operated limb in the moment of the second surgery. Comments/critics are welcome.
Can the attached result be analyzed by the software?
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