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[object Object],[object Object],[object Object]
Definition  ,[object Object]
Indications for use   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cont’d........ ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cont’d…… ,[object Object],[object Object]
Cont’d….. ,[object Object],[object Object],[object Object],[object Object]
Advantages of ESF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages of ESF   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ESF FRAMES   LINEAR CIRCULAR HYBRID
Equipment   ESF 3 BASIC UNITS  FIXATION PINS   EXTERNAL  CONNECTORS  LINKAGE  DEVICES   Inserted into bone  To hold major Fragments   Support fractured  Bones  Attach fixation  Pins & external  Connectors
FIXATION PINS : classification  ,[object Object],HALF PIN   penetrate only one skin  surface but both bone cortices FULL PIN Panetrate one skin  surface then both  cortices ,and then  the opposite Skin  Surface
On basis of structural design ,[object Object],[object Object],[object Object],[object Object],[object Object]
Positive & negative profile threaded pins   ,[object Object],[object Object]
Positive profile transfixation pins used in ESF
Centrally threaded & End threaded pins   ,[object Object],[object Object],[object Object],End treaded pin   Centrally threaded  pin
External connectors  ,[object Object],[object Object],[object Object]
SK double clamp Secur-U clamp S K single   clamp Kirschner double clamp Kirschner single  clamp Kirschner type linkage devices for joining fixation  Pins to external connecting bars & external connecting bars to each other.Note the larger holes for the external  connecting bars & smaller holes in the bolts for  Fixation pins Linkage devices
Linear ESF Configurations   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type Ǐ a (unilateral –uniplanar ) fixators ,[object Object],[object Object],[object Object]
Type Ǐb (unilateral -biplanar )  fixators  ,[object Object],[object Object]
Type ǏǏ (bilateral-uniplanar )   fixators  ,[object Object],[object Object],[object Object],[object Object],Maximal type  ІІa Minimal type  ІІb
Type ǏǏǏ(Bilateral-biplanar)fixator ,[object Object],[object Object],[object Object],[object Object]
TIE-IN CONFIGURATION  ,[object Object],[object Object],[object Object]
Tie –in configuration
Biomechanics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cont’d….. ,[object Object],[object Object]
Fixation pin application  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cont’d…….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Postoperative management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Circular External Skeletal Fixators(CESF)    ( Ilizarov technique) ,[object Object],[object Object],[object Object]
Cont’d….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cont’d…. ,[object Object],[object Object],[object Object]
Standard circular fixator frame for fracture  management
Bones can be lengthened by streching a corticotomy 1mm a day   The regenerate is composed  of  Microcolumns originating from  both bone ends  Radiograph of distraction  Callus at 3 wks
Regenerated bone appears in  the trailing pathway of a  distracted bone segment in the  dog treated with bone resection  & distraction osteogenesis
 
Equipment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wires : ,[object Object],[object Object],[object Object],[object Object],[object Object]
Olive wires
Rings   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wire fixation bolts  ,[object Object],[object Object],[object Object]
Frame construction  ,[object Object],[object Object],[object Object],[object Object]
Wire tensioner
Hybrid External Fixator ,[object Object],[object Object],[object Object],[object Object]
Larger transfixation wires  can be combined with the  use of rings & wires in  a Hybrid frame
Clinical Applications of ESF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fixation of spinal fractures & luxations ,[object Object],[object Object]
Bone transport (limb salvage) ,[object Object],[object Object],[object Object]
 
Acrylic external fixation   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of acrylic system ,[object Object],[object Object],[object Object],[object Object]
cont’d…… ,[object Object],[object Object]
 
Uses of acrylic fixators  ,[object Object],[object Object],[object Object]
Complications of ESF  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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External skeletal fixators

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. ESF FRAMES LINEAR CIRCULAR HYBRID
  • 10. Equipment ESF 3 BASIC UNITS FIXATION PINS EXTERNAL CONNECTORS LINKAGE DEVICES Inserted into bone To hold major Fragments Support fractured Bones Attach fixation Pins & external Connectors
  • 11.
  • 12.
  • 13.
  • 14. Positive profile transfixation pins used in ESF
  • 15.
  • 16.
  • 17. SK double clamp Secur-U clamp S K single clamp Kirschner double clamp Kirschner single clamp Kirschner type linkage devices for joining fixation Pins to external connecting bars & external connecting bars to each other.Note the larger holes for the external connecting bars & smaller holes in the bolts for Fixation pins Linkage devices
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33. Standard circular fixator frame for fracture management
  • 34. Bones can be lengthened by streching a corticotomy 1mm a day The regenerate is composed of Microcolumns originating from both bone ends Radiograph of distraction Callus at 3 wks
  • 35. Regenerated bone appears in the trailing pathway of a distracted bone segment in the dog treated with bone resection & distraction osteogenesis
  • 36.  
  • 37.
  • 38.
  • 40.
  • 41.
  • 42.
  • 44.
  • 45. Larger transfixation wires can be combined with the use of rings & wires in a Hybrid frame
  • 46.
  • 47.
  • 48.
  • 49.  
  • 50.
  • 51.
  • 52.
  • 53.  
  • 54.
  • 55.