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[Bone lengthening of the extremities using the Ilizarov method]
H G Johannsen1, L Andersen, C Ernst
1Odense Universitetshospital, ortopaedkirurgisk afdeling.
Ugeskrift for Laeger
|March 20, 1995
Summary
The Ilizarov method enabled significant bone lengthening in patients with various conditions, achieving mean increases up to 7.5 cm. However, this bone lengthening technique requires vigilant patient monitoring due to frequent complications.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Context:
- The Ilizarov method is a surgical technique used for bone lengthening and deformity correction.
- This study retrospectively analyzes 18 bone lengthening procedures performed between 1991 and 1993.
Purpose:
- To evaluate the indications and outcomes of Ilizarov bone lengthening procedures.
- To identify and analyze complications associated with the Ilizarov method.
Summary:
- Eighteen bone lengthening procedures were performed on 14 patients for conditions including limb length inequality, dysplasia, aplasia, Turner's syndrome, and traumatic amputation.
- Mean lengthening achieved varied by bone, with the humerus showing the greatest mean increase (7.5 cm).
- Complications included pin site issues (14 cases), infection (9 cases), severe pain (5 cases), and post-fixation fractures (2 cases).
Impact:
- The Ilizarov method is effective for bone lengthening but is demanding, requiring frequent patient follow-up and proactive management of complications.
- Understanding complication rates and management strategies is crucial for successful orthopedic reconstruction using this technique.