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PRE-OPERATIVE PLANNING IN THE TREATMENT OF COMPLEX DEFORMITIES OF THE LOWER LIMBS



Abstract

For several years now at the Gaetano Pini Institute of Milan, Italy, we have been improving upon an original instrumental protocol (by means of several radiographic examinations and TC) to understand both congenital and acquired deformations of the lower limbs. Thanks to this technique, it is possibile to evaluate the specific degree of the deformation from any perspective, also from the rotational one; it gives us the possibility to state precisely the dysmorphic pathological consequences on the hip, on the knee and on the ankle joints. This tested kind of interpretation also makes it possible to establish more accurate suggestions regarding surgical correction. If this final correction is achieved in more than one phase, it may be possible to improve the surgical treatment if the contemporary action on the three reference spatial planes is considered. We have already collected data on numerous cases of post-traumatic deformations or congenital dysmorphisms studied by several techniques.