Calculation and correction of secondary translation deformities and secondary length deformities.

ABSTRACT

External fixation correction of angular deformities leads to secondary translation deformities when occurring around an axis located proximal or distal to the center of rotation of angulation (CORA); secondary length deformities result when correction occurs around an axis concave or convex to the CORA. With circular fixation, the hinge axis can be matched to the CORA. With monolateral fixation, the level of the hinge/angulator is not easily controlled. Axis of correction of angulation can be plotted graphically and secondary deformities calculated trigonometrically. Location of the hinge/angulator can be accurately planned and adjustments incorporated to compensate for expected secondary deformities.