The Use of the Ilizarov Technique in the Correction of Limb Deformities Associated with Skeletal Dysplasia

This is an audit of complications resulting from correction of complex lower limb deformities by the Ilizarov technique. 33 patients (40 bone segments) were reviewed and divided into 4 groups according to the type of surgery carried out: limb lengthening and/or correction of deformity, bone or joint stabilisation, treatment of nonunion or bone defect, angular and/or rotation correction. Most minor complications were fixator specific. Pin tract infections were almost universal but responded well to oral antibiotics and rarely resulted in osteomyelitis. Major complications were procedure specific and more common in those patients who underwent leg lengthening, treatment for nonunion and bone transport. There was also a high incidence of nerve injury as a result of acute angular deformity correction. Despite the high complication rate the Ilizarov technique remains an effective tool for complex lower limb reconstruction surgery.

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Complications of use of the Ilizarov technique in the correction of limb deformities in children.

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-199308000-00004 ◽

1993 ◽

Vol 75 (8) ◽

pp. 1148-1156 ◽

Cited By ~ 115

Author(s):

R J Velazquez ◽

D F Bell ◽

P F Armstrong ◽

P Babyn ◽

R Tibshirani

Keyword(s):

Ilizarov Technique ◽

Limb Deformities

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Congenital glaucoma, limb deformities, skeletal dysplasia, and facial anomalies: Report of another family

American Journal of Medical Genetics ◽

10.1002/(sici)1096-8628(19971128)73:1<67::aid-ajmg13>3.0.co;2-p ◽

1997 ◽

Vol 73 (1) ◽

pp. 67-71 ◽

Cited By ~ 15

Author(s):

A. Mégarbané ◽

K. Tomey ◽

G. Wakim

Keyword(s):

Skeletal Dysplasia ◽

Congenital Glaucoma ◽

Facial Anomalies ◽

Limb Deformities

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Osteotomy for Correction of Premature Growth Plate Closure in 24 Dogs

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1633134 ◽

1994 ◽

Vol 07 (03) ◽

pp. 129-135 ◽

Cited By ~ 8

Author(s):

C.W. Miller ◽

P.W. Morgan

Keyword(s):

Corrective Osteotomy ◽

Functional Results ◽

Degenerative Joint Disease ◽

Joint Disease ◽

Angular Deformity ◽

Dynamic Correction ◽

Age At Surgery ◽

Limb Deformities ◽

The Mean ◽

A Prospective Study

SummaryTwenty-four dogs (27 limbs) were evaluated after surgery for correction of forelimb angular limb deformities. Partial ulnar ostectomies or definitive corrective osteotomies were performed depending upon the age of the dog. According to owner assessment nine of fourteen limbs were considered functionally good, or excellent, after partial ulnar ostectomies. Younger dogs appeared to have better functional results after dynamic correction with the mean age at surgery of dogs with good to excellent results being 6.5 months contrasted to the mean age at surgery of dogs with fair to poor results being 9.75 months. Ten of fourteen limbs were considered functionally good or excellent after definitive corrective osteotomy. One dog had definitive osteotomy after partial ulnar ostectomy in order to further correct a residual angular deformity. However, 58% of the limbs with radiographic follow-up had signs of degenerative joint disease (DJD). There were not significant differences between neither degree of angulation remaining after surgery and the functional result nor the degree of angulation remaining after surgery and the development of DJD. A prospective study is warranted to more objectively assess the efficacy of surgical correction of angular limb deformities in dogs.Twenty-four dogs were evaluated after surgery for correction of forelimb angular limb deformities. The results are described.

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