COMPLEX LIMB
RECONSTRUCTION
New Techniques & Technology
Managing bone loss, non-healing fractures and deformity conditions are common problems for Mr Guryel to solve and he provides a tertiary referral service.
These cases were traditionally managed using an external circular frame around the limb. Despite their reliability, they are plagued by problems such as pain, infections, stiffness and fractures after the frame is removed. In addition, the prolonged treatment time and psychological burden that comes with this method significantly affects patients’ quality of life.
DEFORMITY CORRECTION
Long standing femoral deformity
Arthritis and pain in the knee
Knee replacement is required
Corrected using modern techniques
POST-OPERATIVE CORRECTION
Following deformity correction
Underwent knee replacement within 3 months
BONE LOSS
Severe open tibial fracture
12 cm bone loss
Patient wanted options other than a Circular frame
PLATE ASSISTED BONE SEGMENT TRANSPORT
Novel technique only used by a handful of specialists
Short lengthening nail plus spanning plate to perform bone transport
I am fully competent to perform this type of surgery and have been at the forefront of its use in the UK
Excellent outcomes
NON-UNION
Femoral non-union despite multiple attempts
Leg 4cm short and painful
DISTRACTION & LENGTHENING THROUGH NON-UNION
Pioneering new technqiues for complex problems
4cm height regained by distracting non-union
Using intramedullary lengthening nail
Full union and length achieved