technique

SCFE

 

SCFE OA

 

Indications for THA

 

Osteoarthritis

- abnormal morphology

- loss of head neck offset

- bony impingement on acetabulum

 

AVN

 

Ilizarov

Ilizarov Frame Proximal Tibia Clinical Photo

 

Indications

 

Poor soft tissues

- prohibit ORIF

 

Non union

 

Infected non uniion

 

Malunion / deformity

 

Bone loss / bone transport / LLD

 

Concept

 

Distal tibial allograft

Distal Tibial Allograft

 

Indication

 

Bony defects > 30 %

 

Options

- Latarjet - may be insufficient for lesions in the region of 50%

- Iliac crest - associated with high incidence of OA
- distal tibial allograft - radius of curvature matches glenoid highly