Orthopedic implants

Orthopedic implants and medical experts believe that before opting for any kind of functional brace treatment, it is very important to understand the mechanism behind the development of angular deformities in a fractured tibia in order to prevent its occurrence.

Properly applied and comfortable casts or braces designed by orthopedic implants manufacturers are in most instances capable of preventing the growth of angular deformities. If correctly applied such casts or braces can prevent the deformities without causing any excessive or unnecessary pressure on the soft tissues.

Effectual management of angular deformity, on the other hand, is significantly negotiated in cases where the fibula is in an intact position. In cases of the fractures of the tibia with the connected fibula, angulation is disallowed by the compression of the muscle compartments which are generally fluid like compartments surrounding the fractured bone. The possibility of angular deformities of

tibial fractures are a concern that needs to be addressed as angulations can be unpleasant and even potentially injurious to the neighboring joints.

As the top titanium orthopedic implants manufacturers in India, we have come to the understanding that angular deformities of 5° in any plane are typically hard to view with the naked eye and are therefore cosmetically acceptable. This conclusion is based on the years of observations of several thousand tibial fractures by our experts. In many instances, deformities of as high as 8° or 11° are also cosmetically acceptable by many.

To our surprise, in some cases, we have even seen patients with angular deformities of up to 12° aesthetic deviations as normal.

Although we never claim that angular deformities are acceptable (regardless of the degree of acceptance), it must be individualized. To help you understand better the concept of individual aspect in deformity, let us take the example of valgus deformity of the knee where the distal part of the leg below the knee is swerved outward, in relation to the femur thus resulting in a knock-kneed appearance. We will also consider another case of varus deformity (an extreme inward angulation of the distal segment of a bone or joint)

A young woman with slender legs with the usual valgus (the direction that the distal segment of the joint points) of the knees would find a 10° valgus deformity of the tibia cosmetically unacceptable. If that deformity were to be lowered to 5°, there are chances that the cosmetic appearance of the extremity would be acceptable. In the second case let us take an example of an older manual worker or laborer. In this case, varus with 8° or even 10° in some instances of Varus angular deformity would be considered extremity satisfactory by the individual.

Taking these two cases in considerations, we can, therefore, conclude that cosmetic appearance plays a major role in the acceptance of angular deformities. Their early development can often be corrected by further manipulation or using braces developed by orthopedic instruments and orthopedic surgical instruments companies, but if anyhow such method does not appear to be successful, then various other methods of treatment are readily available.

The long-lasting effects of angular deformity on neighboring joints have been of concern to the orthopedic surgeon and spine Implants experts. Based on our long clinical experience in the orthopedic instruments and orthopedic surgical instruments domain, we personally believe that angular deformities in any plane that do not exceed 10° are not likely to fabricate arthritic changes of the knee, ankle, or

talocalcaneal joint. We have never seen a patient with deformities within that range to suffer because of secondary osteoarthritic changes. In the 1960s, Professor Bohler, renowned orthopedic implants expert shared his findings of over 15000 tibial fractures that he had treated with long-leg weight-bearing casts. He quoted that any regulations of up to 8 did not produce late arthritic changes. It was due to his findings that later experts set the limits of acceptability of angular deformities in tibial fractures at 8° in an attempt to link the functional with the aesthetic implications.

With years of experience in the orthopedic surgical instruments business, we have seen patients with angular degrees higher than 10° (without late sequelae) do not know the existence of deformities. It is probable that a longer follow-up might bring about unwanted problems.

Recent findings in the field of orthopedic implants have specified that there is no confirmation of an increased incidence of osteoarthritic changes in the knee and ankle after acceptance of deformities of less than 15°. The findings also quoted this with an example in which there was a regular 40-year observation of a tibial fracture that was treated with a long leg cast that healed with 15° of valgus and recurvatum. Neither recurvatum deformity nor the knee or the ankle experienced any osteoarthritic changes.

Presently, another report on animal studies quoted that it was found that angular deformities could produce late degenerative changes in the adjacent joints. However, in this case, the expert used 30° of angulation, which is an angulation virtually out of the dominion of the clinical probability and a study, therefore, was finally of no clinical relevance.

Another Interlocking Nails study dealing with the impacts of angular deformity on stress on the knee and ankle joints have powerfully supported the clinical observations. The study stated that that the angulations of 5 to 10° of the tibias alter the distribution of stress at the tibiotalar joint only modestly. The posterior angular deformity was the deformity most likely to be associated with such cases.

Ortho surgical implants experts clearly say that angular deformities of the tibia of the Varus or valgus type can be compensated appropriately by the foot only if the subtalar joint is in an intact position. In the nonexistence of motion at this level, the usual pattern of weight distribution in the foot would be distorted with the chances of increased impact over the medial or lateral aspect of the foot as per the deformity.