Related Experiment Video
Updated: Feb 1, 2026
09:41
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
1.7K
EXPERIENCE WITH MANAGING COMPLICATED FRACTURES USING ILIZAROV PRINCIPLE IN LAGOS, NIGERIA
M O Kayode1, O A Adewole1, M O Shoga1
1Lagos State University Teaching Hospital, Ikeja, Nigeria.
Journal of the West African College of Surgeons
|December 8, 2018
Summary
The Ilizarov method effectively reconstructs complicated long bone fractures in Nigeria, showing good bone and functional outcomes. Key complications include pin site infections and knee stiffness, emphasizing the need for diligent care and physiotherapy.
Area of Science:
- Orthopedic surgery
- Limb reconstruction surgery
- Trauma surgery
Background:
- Management of complex bone fractures presents significant challenges in many regions.
- The Ilizarov principle offers a viable global solution for fracture management.
- Limited reporting exists on the application of the Ilizarov method in the Nigerian context.
Purpose of the Study:
- To document the application and outcomes of the Ilizarov method for complicated long bone fractures.
- To evaluate the efficacy of the Ilizarov principle in a Nigerian healthcare setting.
Main Methods:
- A prospective observational study was conducted at Lagos State University Teaching Hospital, Nigeria.
- Thirty patients with complicated long bone fractures were treated using the Linear Rail-fixator System (LRS) based on the Ilizarov principle between June 2009 and December 2012.
- Patients were followed up for a minimum of two years, with data on demographics, indications, procedures, and outcomes collected and analyzed.
Main Results:
- The study included 30 patients (mean age 38 years) with indications such as infected non-union, failed implants with limb length discrepancy, and mal-union.
- Bone defects ranged from 4cm to 12cm; treatment involved acute docking and lengthening, bone transport, or simple limb lengthening.
- Excellent or good bone outcomes were achieved in 27 patients (90%), and excellent or good functional outcomes in 27 patients (90%).
Conclusions:
- Ilizarov surgery, utilizing the Linear Rail-fixator System, is a beneficial method for limb reconstruction in this environment.
- The primary complications observed were pin site infection and knee stiffness.
- Strict adherence to pin site care protocols and early initiation of physiotherapy are crucial for optimizing patient outcomes.
Related Concept Videos
04:08The Uncertainty Principle
31.8K
Werner Heisenberg considered the limits of how accurately one can measure properties of an electron or other microscopic particles. He determined that there is a fundamental limit to how accurately one can measure both a particle’s position and its momentum simultaneously. The more accurate the measurement of the momentum of a particle is known, the less accurate the position at that time is known and vice versa. This is what is now called the Heisenberg uncertainty principle. He...
31.8K
01:49Hardy-Weinberg Principle
76.4K
Diploid organisms have two alleles of each gene, one from each parent, in their somatic cells. Therefore, each individual contributes two alleles to the gene pool of the population. The gene pool of a population is the sum of every allele of all genes within that population and has some degree of variation. Genetic variation is typically expressed as a relative frequency, which is the percentage of the total population that has a given allele, genotype or phenotype.
76.4K
03:06The Pauli Exclusion Principle
59.3K
The arrangement of electrons in the orbitals of an atom is called its electron configuration. We describe an electron configuration with a symbol that contains three pieces of information:
59.3K
01:24Hemodialysis II: Procedure and Complications
826
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
826
03:02The Aufbau Principle and Hund's Rule
72.8K
To determine the electron configuration for any particular atom, we can build the structures in the order of atomic numbers. Beginning with hydrogen, and continuing across the periods of the periodic table, we add one proton at a time to the nucleus and one electron to the proper subshell until we have described the electron configurations of all the elements. This procedure is called the aufbau principle, from the German word aufbau (“to build up”). Each added electron occupies the...
72.8K
01:30Pneumonia III: Complications and Assessment
862
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
862