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The successful outcome of a deformity correction with external fixation surgery relies also on a meticulous post-operative management approach. It is critical to optimal healing and the restoration of functionality. Wound care, pain control, rehabilitation exercises, monitoring of complications, and regular follow-ups are integral to a faster recovery.[1]
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Modern healthcare is evolving fast and creatively. One of the key difficulties faced by a young child who has undergone orthopedic surgery is to contain their movement to allow for appropriate healing. The younger the child, the more challenging it is to remain immobile.
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The human skeleton consists of an intricate architecture of bones – a living tissue that is perpetually undergoing transformation throughout our lives. The most significant portion of bone development, repair, and remodeling occurs during a person's growth period in their youth and adolescence, contributing to our adult body structure. However, certain factors can disrupt this process, leading to skeletal issues like limb deformity.[1]
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Modern healthcare is taking orthopedic aftercare to the next level by ensuring a more personal touch to the patient, once they are released from their hospital stay. Going home after any minor or major surgery is a time of heightened anxiety and proper post-operative (post-op) care instructions and resources are key to ensure that the patient can benefit most from the treatment.
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Total joint replacement surgeries are one of the most common procedures practiced in orthopedics with hip and knee replacements being the most common procedures performed, followed by shoulder and elbow replacements. Over time, a total joint replacement begins to wear and tear, and a revision procedure may be necessary to replace worn-out joint components with a new or improved prosthesis.
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Revision arthroplasty is a procedure performed when a worn-out hip, knee, shoulder, or elbow joint replacement component requires replacement with a new prosthesis. Hip and knee arthroplasties are some of the most common procedures undertaken today. It is estimated that in 10 years, the number of primary total hip arthroplasty interventions will grow by 71% to 635,000 procedures, and primary total knee arthroplasties will undergo an 85% increase, totaling 1.26 million procedures in the United States. Consequently, total hip and total knee revisions are projected to grow by 137% and 601%, respectively, between 2005 and 2030.[1] Shoulder arthroplasty is also a prevalent joint replacement surgery, being the third most common after hip and knee replacement. In terms of complications, total elbow arthroplasty has complication rates higher than that of total joint arthroplasty of all other joints.
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Painful arthritic and inflammatory conditions of the joints are common and often lead to the need for surgical intervention. Severe cases require complete joint replacement such as total knee arthroplasty, total hip replacement and total shoulder or elbow arthroplasty.
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A multiplanar deformity analysis can be both simple and complex: a correct determination of angular and metric deformity apex and plane is a fundamental task. This is true in both the preoperative surgery planning and the postoperative management phases, in order to obtain the most accurate correction and promote the quickest recovery for the patient’s well-being.
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The initial assessment of any lower extremity deformity is fundamental to plan a successful surgical program of correction, as well as an effective post-operative management of the healing process. The assessment should include the X-rays of full length weight bearing of both legs, with a complete axis evaluation to fix the position of the deformities, which is “the true plane of the deformity”.
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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.
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