Open AccessThe Resolution Axis Method (RAM) for lengthening of the femur with or without associated frontal plane deformity (a new method)
Author(s) -
Sherif Galal
Publication year - 2018
Publication title -
strategies in trauma and limb reconstruction/strategies in trauma and limb reconstruction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.5
H-Index - 24
eISSN - 1828-8936
pISSN - 1828-8928
DOI - 10.1007/s11751-018-0312-3
Subject(s) - femur , intramedullary rod , deformity , medicine , coronal plane , orthopedic surgery , orthodontics , anatomy , surgery
Femoral lengthening with or along intramedullary (IM) nails will occur along the axis of the nail coincident with the anatomical axis of the bone. In the femur particularly, such lengthening often creates lateral mechanical axis deviation as the knee is driven medially. In cases where shortening is associated with frontal plane deformity the surgeon needs to correct the deformity intra-operatively, however, subsequent lengthening along the anatomical axis will create deformity. Thus, planning for lengthening of the femur with or along IM nails, whether shortening is associated with frontal plane deformity or not, requires a completely different planning strategy. The author questioned if a resolution anatomical axis can be identified and used for planning when lengthening the femur along or with IM nails while still applying the same classic CORA deformity analysis method.