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Ilizarov Method: A Limb Salvage Device in a Child
M G Faruque1, M U Mollah, T H Siddiquee
1Dr ABM Golam Faruque, Associate Professor, National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|September 11, 2016
Summary
The Ilizarov method effectively treated a 14cm post-burn tibia bone defect in a child. This innovative approach regenerated bone, enabling the patient to walk independently.
Area of Science:
- Orthopedic Surgery
- Regenerative Medicine
- Traumatology
Background:
- Limb length discrepancy and post-burn bone defects pose significant challenges in pediatric orthopedic care.
- Traditional treatments for extensive bone loss, particularly after severe burns, often have limitations.
Observation:
- A 7-year-old boy presented with a 14cm segment of dead, exposed left tibia following a severe electrical burn.
- Initial management included wound debridement and skin grafting by plastic surgeons.
Findings:
- The Ilizarov external fixation device was applied, followed by corticotomy and a 1mm/day distal-to-proximal bone transport protocol.
- Staged excision of dead bone and simultaneous bone regeneration using the Ilizarov method successfully reconstructed the 14cm tibial defect.
- Bony union was achieved, and the patient regained independent ambulation.
Implications:
- The Ilizarov method offers a viable and effective solution for managing extensive post-burn long bone defects in children.
- This case highlights a novel application of Ilizarov external fixation for severe bone loss resulting from thermal injuries.
- Further research into Ilizarov technique for burn-related bone reconstruction is warranted.