3C41

(a) Very short tibia. LRS ADVanced (53000 series) in place; proximal and distal osteotomies.

(b) Simultaneous lengthening at each osteotomy site. Use of Micrometric Swivelling Clamp, which can be used at either end of the adult rail, to correct any varus or valgus occurring during lengthening.
Caution: Resect at least 1 cm of fibula; distal syndesmosis screw.

Equipment required

Q.ty	Catalogue N.	Description
1	53115	ADV MICROMETRIC SWIVELLING CLAMP
1	53111	ADV TRANSLATION CLAMP
1	50009	LONG C/D CLICKER MODEL
1	54-1018	TL BOLT, 20MM
6	99-611530	XCALIBER OSTEOTITE SCREW 130/30

Operative techniques

LRS ADVanced

Videos

Pin Site Care

Instructions for use

	PQ_DYB - Orthofix LRS Dyna Block
	PQ_ETK - TL-HEX Emergency Tab Kit
	PQ_EXF - Orthofix External Fixation System
	PQ_FRA - TrueLok Forefoot Arch
	PQ_ISP - Orthofix Fixation System Medical Devices
	PQ_KIF - TL-Hex Kit ID Frame Adult - TL-Hex Kit IF Frame Pediatric
	PQ_REC - Reconstruction Systems
	PQ_SCR - Orthofix Bone Screws for External Fixation System
	PQ_SUO - Risks Due to the Re-Use of "Single Use" Device
	PQ_TLD - TrueLok and TL-HEX Dynamization Module
	PQ_TLK - TrueLok External Fixation System
	PQ_WTN - TrueLok Wire Tensioner

Website

Courses

Ask for info

Category: Lengthening

Array
(
    [0] => Array
        (
            [name] => Surgical Management of the Charcot Ankle
            [img] => 
            [date] => 2024-01-17
            [content] => 
Charcot neuroarthropathy of the ankle is an especially challenging condition that often leads to instability and destruction of the joint with significant morbidity requiring an amputation in many instances1-3. According to Brodsky et al., the ankle is affected in 9% of patients with Charcot neuroarthropathy, whereas the hindfoot is involved in 30-35%3. The overall goal of Charcot ankle reconstruction is to achieve a painless, plantigrade and stable foot, and thus avoid ulceration with subsequent infection1,2. However, this procedure is also associated with a high complication rate1,2.
            [readmore] => Read More
            [meta] => 
        )

    [1] => Array
        (
            [name] => Postoperative Management in Charcot Foot Reconstruction
            [img] => 
            [date] => 2024-01-10
            [content] => 
The successful treatment of Charcot foot does not end with a completed surgery; success also requires a diligent postoperative care regime. This devastating condition mainly affects patients with diabetes and peripheral neuropathy, resulting in bone destruction and joint deformation1. During the initial, inflammatory stage, the recommended treatment consists of off-loading with total contact casts or custom orthotics to prevent further damage, although surgical management is indicated in cases of severe instability or soft tissue compromise2. After the acute stage, the focus of treatment is on deformity correction and foot reconstruction to prevent further damage and improve the patients’ quality of life2.
            [readmore] => Read More
            [meta] => 
        )

    [2] => Array
        (
            [name] => Charcot Foot Reconstruction Using Internal Fixation
            [img] => 
            [date] => 2023-12-12
            [content] => 
Appropriate timing for surgical intervention is a matter of controversy among specialists1. While in the past Charcot foot surgical reconstruction was mainly reserved to salvage the limb, today surgeons also perform operative corrections to ensure patients can use commercially available footwear instead of cumbersome orthoses1. Regardless, the main goal of Charcot foot surgery, independent of the fixation method, is to create a stable and plantigrade foot. This article will discuss different approaches for Charcot foot surgery with internal fixation, focusing on midfoot reconstruction.
            [readmore] => Read More
            [meta] => 
        )

    [3] => Array
        (
            [name] => Expert Tips on How to Medically Diagnose Charcot Arthropathy
            [img] => 
            [date] => 2023-11-30
            [content] => 
The diagnosis of Charcot neuroarthropathy of the foot and ankle can be challenging due to a lack of information in the patient's history, clinical assessment, imaging, and laboratory findings1. It is assumed that one in four cases of acute foot and ankle Charcot are undiagnosed or misdiagnosed1. However, correct diagnosis and effective treatment are crucial to avoid ulceration, worsening deformity, infection, or amputation1.
            [readmore] => Read More
            [meta] => 
        )

    [4] => Array
        (
            [name] => Charcot Arthropathy Symptoms and Initial Stage
            [img] => 
            [date] => 2023-11-21
            [content] => 
Charcot arthropathy occurs in the presence of peripheral neuropathy and metabolic abnormalities. Today it is seen more commonly in patients with long-standing diabetes1,2. Its pathogenesis, although still largely unknown, involves several pro-inflammatory pathways, which stimulate osteoclastic activity3.
            [readmore] => Read More
            [meta] => 
        )

    [5] => Array
        (
            [name] => Medical Resources for Charcot Foot & Ankle Specialists
            [img] => 
            [date] => 2023-11-14
            [content] => 
There is an overwhelming wealth of scientific literature available on Charcot foot. In this article, we gather and summarize some of the most interesting sources, including Charcot neuroarthropathy of the foot and ankle reviews, diabetic foot reviews, and diabetic foot care articles.
            [readmore] => Read More
            [meta] => 
        )

    [6] => Array
        (
            [name] => The Experts’ Definition of Diabetic Charcot Foot
            [img] => 
            [date] => 2023-11-14
            [content] => 
Charcot foot is a progressive, devastating pathology defined by bone and joint changes that occur as a result of loss of sensation. Also called Charcot joint or neuropathic arthropathy, this condition is almost always associated with the vascular and neurological changes caused by poorly controlled diabetes1.
            [readmore] => Read More
            [meta] => 
        )

    [7] => Array
        (
            [name] => Charcot Surgical Reconstruction
            [img] => 
            [date] => 2023-11-14
            [content] => 
Charcot foot, also called Charcot neuropathy, is a condition caused by a combination of peripheral neuropathy and vascular disorders that results in progressive joint damage and eventually foot instability1. If left untreated, the consequences for patients are devastating, with reduced quality of life, inability to weight-bear, and an increased risk of amputation2.
            [readmore] => Read More
            [meta] => 
        )

    [8] => Array
        (
            [name] => Surgical Approaches for Charcot Foot
            [img] => 
            [date] => 2023-11-14
            [content] => 
Charcot neuroarthropathy is a rare, but devastating complication of diabetes1. Progressive destruction of the bones and joints of the foot cause deformities and thus alter foot biomechanics1. If not recognized nor treated properly, the disease can result in ulcer formation, infection, and progression of the disease with joint instability and bone destruction2,3. In the worst case, limb amputation is required4,5.
            [readmore] => Read More
            [meta] => 
        )

    [9] => Array
        (
            [name] => Tips for Timely Diagnosis of Charcot Foot and Ankle
            [img] => 
            [date] => 2022-01-17
            [content] => 
It is known that around 9 per cent of patients with diabetic neuropathy and foot ulcers develop a Charcot foot and ankle. This pathology often goes unrecognized, particularly during the acute phase, until severe complications occur, such as an abnormal pressure distribution on the plantar fascia with bones weakened enough to fracture, followed by a marked foot and ankle deformation and, in the worst cases, by amputation. Thus, today, one of the most crucial questions is how to timely diagnose this condition.
            [readmore] => Read More
            [meta] => 
        )

    [10] => Array
        (
            [name] => Magnetic Resonance for Charcot Foot and Ankle Diagnosis
            [img] => 
            [date] => 2021-12-21
            [content] => 
Charcot Foot and Ankle is a significant problem caused by peripheral neuropathy, with an estimated incidence of 0.3 to 7.5% in the diabetic population. This condition, which is also known as Charcot arthropathy, Charcot joint, or neuropathic arthropathy, affects the soft tissues, joints, and bones in the foot and ankle. If left untreated, it may lead to progressive foot deformity, ulceration, or osteomyelitis. In the most advanced stages, it may be necessary to resort to limb amputation.
            [readmore] => Read More
            [meta] => 
        )

    [11] => Array
        (
            [name] => Tips for the Prevention of Charcot Foot and Ankle
            [img] => 
            [date] => 2021-12-17
            [content] => 
Charcot Foot and Ankle is a severe condition that, if left untreated, may lead to deformity, permanent disability, amputation or ultimately to the patient’s death. People with diabetic neuropathy are at high risk of developing Charcot Foot and Ankle, because of the decreased sensation and diminished ability to feel temperature, pain or trauma.
            [readmore] => Read More
            [meta] => 
        )

    [12] => Array
        (
            [name] => Computerized Tomography for Charcot Foot and Ankle Diagnosis
            [img] => 
            [date] => 2021-12-14
            [content] => 
Charcot Foot and Ankle, also known as Charcot arthropathy or Charcot joint, is a condition caused by peripheral neuropathy, leading to the progressive degeneration and destruction of the soft tissue, joint, and bone. In modern society, the most common cause for this neuropathic neuropathy is diabetes mellitus, with long-term diabetic patients having an increased risk of developing the condition.
            [readmore] => Read More
            [meta] => 
        )

    [13] => Array
        (
            [name] => Radionuclide for Charcot Foot and Ankle Diagnosis
            [img] => 
            [date] => 2021-12-09
            [content] => 
Early Charcot Foot Diagnosis is essential to a proper management, but this can be challenging. There are some factors that should increase clinical suspicion for acute Charcot arthropathy, namely if the patient presents with:
            [readmore] => Read More
            [meta] => 
        )

    [14] => Array
        (
            [name] => Radiography for Charcot Foot and Ankle Diagnosis
            [img] => 
            [date] => 2021-12-07
            [content] => 
Charcot Foot and Ankle, also known as Charcot arthropathy, neuropathic arthropathy or Charcot joint, is a progressive condition that affects the bones, joints and soft tissue of the foot and ankle. It is caused by peripheral neuropathy. Today, diabetes is the most common cause for developing Charcot Foot and Ankle.
            [readmore] => Read More
            [meta] => 
        )

    [15] => Array
        (
            [name] => Charcot Foot and Ankle Diagnosis: The Multidisciplinary Approach
            [img] => 
            [date] => 2021-12-02
            [content] => 
Patients with Charcot neuroarthropathy, a condition that affects the bones, joints, and soft tissues of the foot and ankle, greatly benefit from a timely diagnosis and appropriate treatment. However, Charcot Foot and Ankle diagnosis can be quite challenging, especially in an early stage, where acute symptoms can be similar to other conditions.
            [readmore] => Read More
            [meta] => 
        )

    [16] => Array
        (
            [name] => Charcot Foot and Ankle: Patient Questions and Doctor Answers
            [img] => 
            [date] => 2021-11-30
            [content] => 
Linked to peripheral neuropathy, Charcot Foot and Ankle is one of the serious foot complications affecting people with diabetes. Foot injuries that go unnoticed due to the reduced pain sensation accumulate, and, over time, there is bone deformation, ulceration, and infection. In a worst-case scenario, amputation may be necessary.
            [readmore] => Read More
            [meta] => 
        )

    [17] => Array
        (
            [name] => Charcot Foot and Ankle Causes: Where the Pathology Starts
            [img] => 
            [date] => 2021-11-25
            [content] => 
Charcot Foot and Ankle, also known as Charcot arthropathy, is a progressive, inflammatory condition that affects the bones, joints, and soft tissues in the feet of people with peripheral neuropathy. If left untreated, Charcot of the foot and ankle leads to severe deformity, ulceration, and – worst-case scenario – to limb amputation.
            [readmore] => Read More
            [meta] => 
        )

    [18] => Array
        (
            [name] => The Stages of Charcot Foot and Ankle Disease and The Importance of a Quick Diagnosis
            [img] => 
            [date] => 2021-11-23
            [content] => 
When dealing with Charcot Foot Disease, a swift diagnosis is crucial to improve patient outcomes and avoid complications such as foot deformity, ulceration, and in a worst-case scenario, limb amputation. However, not all physicians are able to recognize the initial signs of a Charcot Foot and Ankle in their diabetic patients.
            [readmore] => Read More
            [meta] => 
        )

    [19] => Array
        (
            [name] => Weight Bearing and Dynamization
            [img] => 
            [date] => 2021-11-17
            [content] => 
Weigh bearing is considered a significant clinical issue particularly when an external fixator has been applied to a lower limb. If mechanical stability is in fact a mandatory condition for promoting fracture healing, other key components for a full recovery of the bone are early weight bearing and dynamization.
            [readmore] => Read More
            [meta] => 
        )

    [20] => Array
        (
            [name] => Emergency in Diabetic Foot and Ankle
            [img] => 
            [date] => 2021-11-16
            [content] => 
Diabetic foot is one of the most important sources of morbidity in patients with diabetes, affecting 6.4% of patients worldwide. It is the most common cause of lower extremity amputation.
            [readmore] => Read More
            [meta] => 
        )

    [21] => Array
        (
            [name] => Charcot Foot and Ankle: Definition and Classification
            [img] => 
            [date] => 2021-11-12
            [content] => 
Charcot Neuroarthropathy, also called Charcot Foot and Ankle, is a progressive and inflammatory condition that weakens the soft tissues, bones, and joints of the foot and ankle. This complex and challenging type of neuropathic arthropathy is commonly linked to diabetes. If left untreated, it can lead to devastating consequences, such as deformity, ulceration, and infection. In the worst-case scenario, it may result in limb amputation.
            [readmore] => Read More
            [meta] => 
        )

    [22] => Array
        (
            [name] => Dealing With Pin Site Problems
            [img] => 
            [date] => 2021-10-17
            [content] => 
To prevent and manage pin site problems, the patient should be clearly informed of the protocol he/she needs to follow for pin site care in the post-operative phase. And not only the patient, but all people involved in the healing process outside the hospital should know the protocol.
            [readmore] => Read More
            [meta] => 
        )

    [23] => Array
        (
            [name] => Controversies on the Role of Dynamization in the Bone Healing Process
            [img] => 
            [date] => 2021-10-17
            [content] => 
Dynamization (dynamic loading and controlled motion at the fracture site) is considered a controversial and evolving issue, besides the positive functional results observed both in experimental studies based on animal models, and in human clinical cases in the last 30 years. Currently one crucial matter is to understand the biomechanical, biological and physiological effects of dynamization on the bone healing process, in order to show its safety and effectiveness. 
            [readmore] => Read More
            [meta] => 
        )

    [24] => Array
        (
            [name] => The Surgical Approach to the Charcot Foot and Ankle Treatment
            [img] => 
            [date] => 2021-05-24
            [content] => 
Charcot Foot and Ankle is a complex, challenging and sometimes devastating inflammatory foot disease which causes loss of sensation, weakening of the bones and collapse of the weight bearing joints. Most often due to diabetes and underlying neuropathic arthropathy, it needs a multidisciplinary team approach in order to treat it properly and prevent amputation.
            [readmore] => Read More
            [meta] => 
        )

    [25] => Array
        (
            [name] => The Orthofix Philosophy of Pediatric Solutions
            [img] => 
            [date] => 2021-05-23
            [content] => 
A child may need the help of a pediatric orthopedic surgeon for many reasons: musculoskeletal injuries caused by playing a sport, jumping, climbing or cycling, and conditions that have to be treated by a specialized team. In addition to several pediatric solutions and a deep knowledge within the orthopedic surgical field, Orthofix offers a complete and effective treatment philosophy.
            [readmore] => Read More
            [meta] => 
        )

    [26] => Array
        (
            [name] => Internal Fixation vs External Fixation
            [img] => 
            [date] => 2021-05-22
            [content] => 
A typical question that a surgeon has to face when deciding the treatment of a bony injury is when to use internal fixation instead of external fixation. A common answer is “when the patient is compliant, with sufficient bone and soft tissue quality, and presents less complex fractures”. Surgeon’s expertise and preference may also affect the final surgical plan.
            [readmore] => Read More
            [meta] => 
        )

    [27] => Array
        (
            [name] => The Multifocal Procedure with the Limb Reconstruction System (LRS)
            [img] => 
            [date] => 2021-05-14
            [content] => 
The multifocal procedure, in which two osteotomies are performed, is indicated in the presence of large bone defects, extreme shortening, shortening combined with metaphyseal deformity where lengthening takes place in more than one site, and fractures with soft tissue defects and exposed bone. The application technique of the external device is quite similar to that for bone transport, with the only difference being that in this procedure two compression-distraction units are used simultaneously.
            [readmore] => Read More
            [meta] => 
        )

    [28] => Array
        (
            [name] => The Monofocal Procedure with the Limb Reconstruction System (LRS)
            [img] => 
            [date] => 2021-05-13
            [content] => 
The monofocal procedure is performed for lengthening at a single osteotomy site, for deformity correction with or without lengthening, and when increased stability is required. This procedure may be also used in bone and soft tissue defects when the bone loss is less than 2cm.
            [readmore] => Read More
            [meta] => 
        )

    [29] => Array
        (
            [name] => Key Points for Healthy Pin Sites
            [img] => 
            [date] => 2021-05-08
            [content] => 
Preserving healthy pin sites is essential to effective external fixation, for the prevention of pin track infection and related complications. All people involved in the healing process – general practitioner, surgeon, nursing staff, patient and family – play a fundamental role in order to achieve the best result. Here are some useful key points.
            [readmore] => Read More
            [meta] => 
        )

    [30] => Array
        (
            [name] => The Orthofix Philosophy
            [img] => 
            [date] => 2021-05-05
            [content] => 
“Respect for, and enhancement of the natural physiological process of fracture healing” may be considered the philosophy which has inspired the research and design of all products developed by Orthofix in the last 40 years, starting with the set of devices belonging to the internal and external fixation system.
            [readmore] => Read More
            [meta] => 
        )

    [31] => Array
        (
            [name] => Orthofix Dynamization and Initial Devices
            [img] => 
            [date] => 2021-05-03
            [content] => 
The Orthofix history began at the end of the 70s in Italy with the work of orthopedic researcher Giovanni De Bastiani. He proposed the concept of “dynamization” and developed a modular external fixation device designed to allow the release of axial forces at the proper time during the healing process, thus transferring a progressive load to the fracture site. After this first device, other devices were developed by Orthofix to better satisfy patients’ and doctors’ needs.
            [readmore] => Read More
            [meta] => 
        )

    [32] => Array
        (
            [name] => The Concept of Dynamization
            [img] => 
            [date] => 2021-05-02
            [content] => 
Stability does not mean rigidity. Medical philosophy has evolved from the aim to eliminate micromotion between the bony fragments to the idea of controlling it. Micromotion is necessary for external callus formation, and therefore for a functional bone healing. External fixation offers the opportunity to control both micromovement and load at the fracture site, which corresponds to the concept of dynamization.
            [readmore] => Read More
            [meta] => 
        )

    [33] => Array
        (
            [name] => Bone Healing and The Role of External Fixation
            [img] => 
            [date] => 2021-05-01
            [content] => 
When a bone breaks, all the systems work for the bone healing. Fracture healing is a natural, physiological process, and the surgeon may help nature to restore the biological, structural and mechanical properties of the bone as they were before the break, transforming the fracture into a healed, normal and straight bone. 
            [readmore] => Read More
            [meta] => 
        )

)
Array
(
    [0] => monolateral
    [1] => reconstruction
    [2] => upper_extremity
    [3] => lower_extremity
    [4] => adult_lrs
    [5] => lrs_advanced._pediatric_lrs
    [6] => external_fixation
    [7] => lrs_advanced
    [8] => paediatric
    [9] => paediatric_lrs
    [10] => circular
    [11] => trauma
    [12] => charcot_foot_and_ankle
    [13] => truelok
    [14] => bone_screws
    [15] => screws
)

FROM THE BLOG

Surgical Management of the Charcot Ankle

2024-01-17

Charcot neuroarthropathy of the ankle is an especially challenging condition that often leads to instability and destruction of the joint with significant morbidity requiring an amputation in many instances^1-3. According to Brodsky et al., the ankle is affected in 9% of patients with Charcot neuroarthropathy, whereas the hindfoot is involved in 30-35%³. The overall goal of Charcot ankle reconstruction is to achieve a painless, plantigrade and stable foot, and thus avoid ulceration with subsequent infection^1,2. However, this procedure is also associated with a high complication rate^1,2.

Read More

Postoperative Management in Charcot Foot Reconstruction

2024-01-10

The successful treatment of Charcot foot does not end with a completed surgery; success also requires a diligent postoperative care regime. This devastating condition mainly affects patients with diabetes and peripheral neuropathy, resulting in bone destruction and joint deformation¹. During the initial, inflammatory stage, the recommended treatment consists of off-loading with total contact casts or custom orthotics to prevent further damage, although surgical management is indicated in cases of severe instability or soft tissue compromise². After the acute stage, the focus of treatment is on deformity correction and foot reconstruction to prevent further damage and improve the patients’ quality of life².

Read More