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[Lengthening osteotomy with the Ilisarow fixator]

P Preisser1, B D Partecke

  • 1Abteilung für Handchirurgie, Plastische und Mikrochirurgie, Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|January 1, 1995
PubMed
Summary

The Ilizarov external fixator enabled significant bone lengthening without bone grafts in most cases. This method proved stable and versatile, though some complications like pin infections and non-union occurred.

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Area of Science:

  • Orthopedic surgery
  • Limb reconstruction surgery

Background:

  • Limb lengthening procedures aim to correct discrepancies and deformities.
  • External fixation devices offer mechanical stability for bone healing and lengthening.

Observation:

  • A study reviewed 23 distraction osteogenesis procedures using the Ilizarov external fixator between 1991 and 1993.
  • The focus was on assessing the efficacy and complications of this technique for bone lengthening.

Findings:

  • Significant bone lengthening was achieved in most cases without requiring bone grafting.
  • Complications included pin site infections, apparatus loosening, and one instance of non-union.
  • The Ilizarov external fixator demonstrated stability and adaptability across various applications.

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Implications:

  • The Ilizarov technique is a viable option for limb lengthening, potentially reducing the need for bone grafts.
  • Careful monitoring is necessary to manage potential complications associated with external fixation.
  • Further research can explore optimizing Ilizarov fixation protocols to minimize adverse events.