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My approach

Specialised field of Orthopaedics rebuilding and lengthening limbs

Limb reconstruction and lengthening

In the realm of super-specialised Orthopaedics, I bring together the power of technology and surgical expertise to restore function and address the most challenging orthopaedic issues.

As an expert in limb lengthening and reconstruction within the field of Orthopaedics, my approach is a fusion of advanced techniques and innovative technologies designed to meet the unique needs of each patient.

I rely on the groundbreaking Ilizarov Method, employing circular fixation techniques, advanced digital planning tools, specialised lengthening nails, and intricate osteotomies to achieve precision and success. In cases requiring tailored prostheses, I harness the capabilities of 3D printing to craft specialised solutions.

But it’s not just about the procedures; it’s about the journey. My dedicated care pathways are meticulously designed to guide patients through every step of their limb reconstruction journey.

My mission is clear: to rebuild lives, one limb at a time.

In this highly specialised field, I assist you on your journey that restores mobility, function, and quality of life to individuals facing some of the most daunting orthopaedic challenges.

Welcome to a new era of orthopaedic care.

Limb reconstruction encompasses the following aspects:

Complex trauma reconstruction

Complex fractures demand advanced techniques, such as ortho-plastic approaches for open tibial fractures and advanced methods for joint preservation in plateau fractures. I prioritise function and employ cutting-edge technologies.

Deformity correction

Limb deformities can result from various causes, demanding meticulous planning for effective realignment. My approach includes advanced digital planning, clinical examinations, and 3D models for complex cases. Correction techniques encompass hexapod fixators, guided growth strategies, and specialised fixation methods, ensuring optimal alignment, particularly in growing skeletons.

Non-union reconstruction

Approximately 10% of fractures present healing challenges, potentially leading to multiple surgeries and loss of function. Experienced care is essential. I specialise in non-union management with a diverse range of techniques to restore function and well-being.

Bone infection

Bone infections are a serious concern, often risking recurrence and amputation. My comprehensive approach includes debridement, soft tissue reconstruction, bone stabilisation, tailored antibiotics, and dead space management. I unite specialists for individualised management treatments, ensuring precision and effective treatment for musculoskeletal infections, with a focus on full recovery.

Bone defect reconstruction

Bone loss due to infection, trauma, or surgery necessitates restoration for function and to avoid amputation. My specialised care pathways include distraction osteogenesis to address complex upper and lower limb bone defects. We’re also exploring 3D printed truss cages for enhanced bone continuity, prioritising your well-being and quality of life.

Foot and Ankle Reconstruction

Complex foot and ankle issues require specialised management, including innovative approaches for failed fracture fixation and arthritis. I employ techniques such as external fixation, 3D printed reconstructions, and staged protocols for diabetic Charcot foot deformities. Meticulous planning and gradual corrections are key to addressing complex foot deformities for optimal results.

Limb lengthening

Limb deformities arise from various causes, requiring meticulous planning for effective realignment. I employ advanced digital planning, clinical exams, and 3D models for complex cases. Correction methods include hexapod fixators and guided growth strategies, prioritising restoration in growing skeletons for optimal alignment.

Reconstructive amputations

Amputation, despite our best efforts, can profoundly impact patients. Our multidisciplinary approach prioritises preserving function and quality of life. Advances like osseo-integration limb replacement offer exciting possibilities for improved outcomes in amputation care.

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Dr. Franz Birkholtz

Orthopaedic Surgeon
South Africa
T: +27 (0)21 861 6420
E: dr.fbirkholtz@ior.health