scholarly journals Correction of Complex Lower Limb Deformities by the Ilizarov Technique: An Audit of Complications

2000 ◽  
Vol 8 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Jean-Claude Theis ◽  
H Simpson ◽  
J Kenwright

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.

2005 ◽  
Vol 52 (2) ◽  
pp. 117-119 ◽  
Author(s):  
Milorad Mitkovic ◽  
Marko Bumbasirevic ◽  
Z. Golubovic ◽  
D. Mladenovic ◽  
S. Milenkovic ◽  
...  

The results of limb lengthening, correction of limb deformities and solving of bone loss, by the use of Mitkovic external fixation system and minimally invasive technique on the series of 96 operations in 89 patients are shown. Only lower extremities were included in this series. The advantages of this external fixation system in comparison to other systems are pointed out. The main advantages are the optimal biomechanical conditions including unilateral but 3-dimensional frame, which provides conditions very similar to natural biomechanical features of the human long bones, simplicity of application and low cost. The received result was excellent or very good in 98.4%. Maximal limb lengthening was 18 cm (at the same time in the femur and the tibia). Angular deformity correction is extremely simplified with minimized possibility of complications. The frame for bone transport is very simple. It can be concluded that presented methods are suitable for routine use.


2014 ◽  
Vol 23 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Hubert J. Oostenbroek ◽  
Ronald Brand ◽  
Peter M. van Roermund ◽  
René M. Castelein

2016 ◽  
Vol 36 (1) ◽  
pp. 48-55 ◽  
Author(s):  
Reggie C. Hamdy ◽  
Kathleen Montpetit ◽  
Michael D. Aiona ◽  
William G. MacKenzie ◽  
Harold J.P. van Bosse ◽  
...  

2010 ◽  
Vol 469 (4) ◽  
pp. 1175-1180 ◽  
Author(s):  
Maurizio A. Catagni ◽  
Makram Radwan ◽  
Luigi Lovisetti ◽  
Francesco Guerreschi ◽  
Nabil A. Elmoghazy

PRILOZI ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 175-183
Author(s):  
Nenad Atanasov ◽  
Anastasika Poposka ◽  
Milan Samardziski ◽  
Viktor Kamnar

AbstractBackground: Radiographic examination of extremities in surgical lengthening and/or correction of deformities is of crucial importance for the assessment of new bone formation. The purpose of this study is to confirm the diagnostic value of radiography in precise detection of bone parameters in various lengthening or correction stages in patients treated by limb-lengthening and deformity correction.Patients and Methods: 50 patients were treated by the Ilizarov method of limb lengthening or deformity correction at the University Orthopaedic Surgery Clinic in Skopje, and analysed over the period from 2006 to 2012. The patients were divided into two groups. The first group consisted of 27 patients with limb-lengthening because of congenital shortening. The second group consisted of 23 patients treated for acquired limb deformities. The results in both groups were received in three stages of new bone formation and were based on the appearance of 3 radiographic parameters at the distraction/compression site.Results: The differences between the presence of all radiographic bone parameters in different stages of new bone formation were statistically signficant in both groups, especially the presence of the cortical margin in the first group (Cochran Q = 34.43, df = 2, p = 0.00000). The comparative analysis between the two groups showed a statistically significant difference in the presence of initial bone elements and cystic formations only in the first stage.Discussion and Conclusions: Almost no statistical significance in the differences between both groups of patients with regard to 3 radiographic parameters in 3 stages of new bone formation, indicates a minor influence of the etiopathogenetic background on the new bone formation in patients treated by gradual lengthening or correction of limb deformities.


2020 ◽  
Vol 12 (5) ◽  
pp. 109-112
Author(s):  
Bari MM ◽  
Islam Shahidul ◽  
Bari AM Shayan R

Here we are presenting a massive bone defect of upper tibia and 7 cm limb length discrepancy due to long standing osteomyelitis, which was treated successfully using Ilizarov technique and frame.


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