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Pediatric applications of the Ilizarov method
N Rajacich1, D F Bell, P F Armstrong
1Mary Bridge Children's Hospital, Tacoma, Washington.
Clinical Orthopaedics and Related Research
|July 1, 1992
Summary
The Ilizarov technique offers successful treatment for various pediatric orthopedic issues, including limb length discrepancies and deformities. While complication rates are high, careful planning and follow-up ensure successful outcomes for complex cases.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Limb Reconstruction
Background:
- The Ilizarov technique has been applied to over 250 pediatric orthopedic cases since 1987.
- Its principles are consistent across pediatric and adult applications.
- Successful implementation requires meticulous preoperative planning and diligent intra-operative monitoring.
Purpose of the Study:
- To evaluate the efficacy and applications of the Ilizarov technique in pediatric orthopedics.
- To highlight its utility in managing complex limb deformities and discrepancies.
Main Methods:
- Application of the Ilizarov external fixation device for distraction osteogenesis and bone transport.
- Preoperative planning and close clinical follow-up during the distraction phase.
- Management of complications to ensure treatment success.
Main Results:
- High complication rates are noted but are decreasing with increased experience.
- The technique is effective for limb-length discrepancies exceeding 5 cm, especially with angular deformities.
- Successful treatment of adolescent Blount's disease, congenital tibial pseudarthrosis, and resistant clubfeet.
Conclusions:
- The Ilizarov technique is a versatile method for treating complex pediatric orthopedic deformities.
- It provides a viable alternative to traditional surgical interventions like osteotomy.
- The method is indicated for limb lengthening in selected cases of short stature.