Adex_orthopaedic care services

24/08/2020

✨AUGUST 24 ✨
ORTHOPEDIC TECHNOLOGIST DAY! 🦴
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We thank you ALL, for ALL THAT YOU DO!
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Especially this year, WOW! The continued hard work, dedication, and support is over whelming.
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With having to wear a mask, gloves, shields, and working with traumas & surgeries + the worry of COVID, you all have proved you are the TRUE HEROS!

DROP BELOW what your practice has done to show their appreciation!

24/05/2020

Eid Mubarak...

11/10/2018

You can visit and like our website with this link.. We are moving.

Home

23/05/2018

Call us for fractured, dislocation, subluxation, clubfoot cases and etc.
Adex_orthopaedic care services, we care about our patients bones.

02/03/2018

Double Hip Spica
Used for pelvis, hip or thigh fractures. Also used to hold the hip or thigh muscles and tendons in place after surgery to allow healing.
It extends from the base of the foot to the naval with a bar place to abduct the two legs. Cast applied by AOCS centre..we care about you...

26/11/2017

Procedure in clubfoot correction...thanks for watching.. For more inquiry and our services pls contact us on 08168660770 or email: [email protected]..

12/09/2017

Hi everyone..

29/08/2017

Hi Everyone, I am Oni Adeniyi, orthopaedic tech. By profession, I hereby introduce a new brand, fancy and comfortable Broad Arm Sling to all Orthopaedic health professionals for supporting all hand injuries after definite treatment fracture, dislocation and so on..
You can place your order for different colours of the sling via a mail on [email protected] or contact me on 08168660770..or like our page on Facebook @ adex-orthopaedic-care-services.... Thanks..

23/08/2017

Common Errors
The common errors in the treatment of the clubfoot and how to avoid them are:
1. Having the parents remove the plaster cast at home the day before the cast change. Much correction is lost while the foot is out of the cast. The cast should not be removed more than an hour before the new cast is applied.
2. Pronation or eversion of the foot The wrong assumption is made that the severe supination in the clubfoot will correct by pronating or everting the foot. Pronation of the foot will make the deformity worse by increasing the cavus and locking the adducted calcaneus under the talus, while the midfoot and forefoot are twisted into eversion. Supination of the foot and heal varus are corrected by abducting the supinated foot under the talus
3. External rotation of the foot to correct adduction while the calcaneus is in varus This causes a posterior displacement of the lateral malleolus by externally rotating the talus in the ankle mortice. The posteriorly displaced lateral malleolus, seen in poorly treated clubfoot, is an iatrogenic deformity . It does not occur when the foot is abducted in flexion and slight supination to stretch the medial tarsal ligaments, with counter pressure applied on the lateral aspect of the head of the talus,thus allowing the calcaneus to abduct under the talus with correction of the heel varus ).
4. Abducting the foot at the midtarsal joints with the thumb pressing on the lateral side of the foot near the calcaneocuboid joint, arching the foot as if straightening a bent wire. This was taught by Kite and is a major error. By abducting the foot against pressure at the calcaneocuboid joint the abduction of the calcaneus is blocked, thereby interfering with correction of the heel varus . Kite wrongly believed that the heel varus would correct simply by everting the calcaneus. He did not realize that the calcaneus can evert only when it is abducted, i.e. laterally rotated, under the talus. This error in the Kite technique had a major negative impact on the manipulative treatment of clubfoot. Kite was able to correct the deformity after many manipulations and changes of cast. His less patient followers, with some notable exceptions, have resorted to surgery.
5. Frequent manipulations not followed by immobilization. The foot should be immobilized with the contracted ligaments at the maximum stretch obtained after each manipulation. Plaster casts applied between manipulations serve to keep the ligaments stretched, and to loosen them sufficiently to facilitate further stretching in the manipulations following at intervals of five to seven days. The tarsal joints and bones remodel due to the changes in the direction of mechanical loading of fast growing tissues.
6. Application of below knee instead of toe to groin casts. The longer plasters are needed to prevent the ankle and talus from rotating. Since the foot must be held in abduction under the talus, the talus must not rotate, otherwise the correction obtained by manipulation is lost.
7. Attempts to correct the equinus before the heel varus and foot supination are corrected will result in a rocker bottom deformity.
8. Failure to use shoes or molded orthotics attached to a bar in external rotation for three months full-time and at night for two to four years. These splints are necessary to counter the tendency of the ligaments to tighten, causing relapses. The ankles and knees are free to move and the leg and thigh muscles gain strength.
9. Attempts to obtain a perfect anatomical correction. It is wrong to assume that early alignment of the displaced skeletal elements results in a normal anatomy and good long term function of the clubfoot. We found no correlation between the radiographic appearance of the foot and long- term function. In severe clubfoot, complete reduction of the extreme medial displacement of the navicular may not be possible by manipulation. The medial tarsal ligaments cannot be stretched sufficiently to properly position the navicular in front of the head of the talus. Since the joint capsules and ligaments play a crucial role in the kinematics of the tarsal joints, they cannot be stripped away with impunity. In infants, the medial ligaments should be gradually stretched as much as they will yield rather than cut, regardless of whether a perfect anatomical reduction is obtained or not....contact me for treatment of clubfoot corrections 08168660770.
Mail: [email protected]. thanks..

22/08/2017

Metatarsus Adductus
What is metatarsus adductus?
Metatarsus adductus, also known as metatarsus varus, is a common foot deformity noted at birth that causes the front half of the foot, or forefoot, to turn inward. Metatarsus adductus may also be referred to as "flexible" (the foot can be straightened to a degree by hand) or "nonflexible" (the foot cannot be straightened by hand).

What causes metatarsus adductus?
The cause of metatarsus adductus is not known. It occurs in approximately 1 to 2 per 1,000 live births and is more common in first born children.

Babies born with metatarsus adductus rarely need treatment as they grow. They may, however, be at increased risk for developmental dysplasia of the hip, a condition of the hip joint in which the top of the thigh (femur) slips in and out of its socket, because the socket is too shallow to keep the joint intact.

How is metatarsus adductus diagnosed?
A doctor makes the diagnosis of metatarsus adductus with a physical examination. During the examination, the doctor will obtain a complete birth history of the child and ask if other family members were known to have metatarsus adductus.

Diagnostic procedures are not usually necessary to evaluate metatarsus adductus. However, X-rays (a diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film) of the feet are often done in the case of nonflexible metatarsus adductus.

An infant with metatarsus adductus has a high arch and the big toe has a wide separation from the second toe and deviates inward. Flexible metatarsus adductus is diagnosed if the heel and forefoot can be aligned with each other with gentle pressure on the forefoot while holding the heel steady. This technique is known as passive manipulation.

If the forefoot is more difficult to align with the heel, it is considered a nonflexible, or stiff foot.

Treatment for metatarsus adductus
Specific treatment for metatarsus adductus will be determined by your child's doctor based on:

Your child's age, overall health, and medical history

The extent of the condition

Your child's tolerance for specific medications, procedures, or therapies

Expectations for the course of the condition

Your opinion or preference

The goal of treatment is to straighten the position of the forefoot and heel. Treatment options vary for infants, and may include:

Observation, for those with a supple, or flexible, forefoot

stretching or passive manipulation exercises

casts

surgery

Studies have shown that metatarsus adductus may resolve spontaneously (without treatment) in the majority of affected children.

Your child's doctor or nurse may instruct you on how to perform passive manipulation exercises on your child's feet during diaper changes. A change in sleeping positions may also be recommended. Suggestions may include side-lying positioning.

In rare instances, the foot does not respond to the stretching program, long leg casts may be applied. Casts are used to help stretch the soft tissues of the forefoot. The plaster casts are changed every 1 to 2 weeks by your child's pediatric orthopaedist.

If the foot responds to casting, straight cast shoes may be prescribed to help hold the forefoot in place. Straight last shoes are made without a curve in the bottom of the shoe.

For those infants with very rigid or severe metatarsus adductus, surgery may be required to release the forefoot joints. Following surgery, casts are applied to hold the forefoot in place as it heals.

Long-term outlook for a child with metatarsus adductus
Metatarsus adductus is a common problem with more than 90% resolving on their own. When needed treatment will depend on the degree of flexibility in the affected foot. For clubfoot correction contact me on 08168660770. Cheers.