Pelvic support femoral reconstruction using the method of Ilizarov: a case report

A 15-year-old boy presented with a fixed, irreducible congenital dislocation of the hip associated with other multiple lower extremity growth disturbances secondary to neonatal multifocal osteomyelitis. The affected hip had very limited abduction, and the patient had a very severe Trendelenburg gait secondary to the dislocation. The hip was reconstructed according to the Ilizarov method, by a combination of maximum proximal femoral adduction osteotomy in the subtrochanteric region and distal femoral corticotomy, to permit the gradual realignment of the knee into the new weight-bearing axis produced by the proximal osteotomy. Total fixation time for the femoral reconstruction was two months. Five months after removal of the apparatus, the patient was returned to full function with a remarkably improved gait.