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Treatment of tibia vara by the Ilizarov method
Cebrail Alekberov1, Vladimir I Shevtsov, Vasfi Karatosun
1Department of Orthopaedics and Traumatology, Dokuz Eylül University Hospital, Izmir, Turkey.
Clinical Orthopaedics and Related Research
|April 3, 2003
Summary
The Ilizarov method effectively corrects tibia vara and torsion deformities using distraction osteogenesis. This technique allows for early weight-bearing and joint mobility, leading to successful patient outcomes.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Surgical Innovation
Background:
- Tibia vara is a complex lower limb deformity affecting children.
- Correction of associated torsional deformities is crucial for functional recovery.
Purpose of the Study:
- To evaluate the efficacy of the Ilizarov circular external fixator and distraction osteogenesis in treating tibia vara.
- To assess the correction of both angular and torsional deformities in pediatric patients.
Main Methods:
- Ilizarov circular external fixator and distraction osteogenesis applied to 69 lower extremities in 45 patients.
- Active joint mobilization initiated day after surgery; partial weight-bearing commenced on day 2.
- Long-term follow-up ranging from 27 to 178 months (mean 80 months).
Main Results:
- Significant improvement in tibiofemoral angle from mean 28.6° varus to 7.5° valgus.
- Marked improvement in tibial torsion from mean 20.7° internal to 3.5° external.
- No neurovascular complications, delayed unions, or nonunions reported; successful revision for residual deformities.
Conclusions:
- The Ilizarov method is a safe and effective treatment for pediatric tibia vara.
- This technique facilitates early functional recovery through early weight-bearing and motion.
- The Ilizarov method allows for comprehensive correction of all deformity components.