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Ilizarov

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https://www.readbyqxmd.com/read/29339841/role-of-autologous-non-vascularised-intramedullary-fibular-strut-graft-in-humeral-shaft-nonunions-following-failed-plating
#1
Sreekanth Kashayi-Chowdojirao, Aashish Vallurupalli, Vijay Krishna Chilakamarri, Chandrasekhar Patnala, Lalith Mohan Chodavarapu, Nageswara Rao Kancherla, Asif Hussain Khazi Syed
Background: Non-union humeral shaft fractures are seen frequently in clinical practice at about 2-10% in conservative management and 30% in surgically operated patients. Osteosynthesis using dynamic compression plate (DCP), intramedullary nailing, locking compression plate (LCP), Ilizarov technique along with bone grafting have been reported previously. In cases of prior failed plate-screw osteosynthesis the resultant osteopenia, cortical defect, bone loss, scalloping around screws and metallosis, make the management of non-union more complicated...
November 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29310362/wrapping-grafting-for-congenital-pseudarthrosis-of-the-tibia-a-preliminary-report
#2
An Yan, Hai-Bo Mei, Kun Liu, Jiang-Yan Wu, Jin Tang, Guang-Hui Zhu, Wei-Hua Ye
OBJECTIVE: Treatment of congenital pseudarthrosis of the tibia (CPT) remains a challenge. The autogenic iliac bone graft is important consistent of treatment for CPT. The purpose of this study was to investigate the role of wrapping autogenic iliac bone graft in improvement of the curing opportunities of CPT. METHODS: We combined Ilizarov fixator with intramedullary rodding of the tibia and wrapping autogenic iliac bone graft for treatment 51 cases of CPT between 2007 and 2010...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29298263/subtubercle-osteotomy-for-medial-compartment-osteoarthritis-of-the-knee-using-ilizarov-technique-survival-analysis-and-clinical-outcomes
#3
Stephen J Warner, Daniel P O'Connor, Mark R Brinker
BACKGROUND: High tibial osteotomy with acute correction and internal fixation can be used to correct malalignment and malorientation and reduce symptoms in patients with medial compartment osteoarthritis of the knee. To address the inadequacies of this technique, we performed a series of subtubercle tibial osteotomy (STO) procedures using circular ring fixation to correct knee varus malalignment and joint malorientation. The purpose of this study was to analyze the ability of this technique to delay subsequent knee arthroplasty and decrease symptoms...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29290472/ilizarov-technique-bone-transport-versus-bone-shortening-lengthening-for-tibial-bone-and-soft-tissue-defects
#4
Yongwei Wu, Qudong Yin, Yongjun Rui, Zhenzhong Sun, Sanjun Gu
OBJECTIVE: To compare the outcomes of bone transport and bone shortening-lengthening by Ilizarov technique for treatment of tibial bone and soft-tissue defects. METHODS: Fifty patients with tibial bone and soft-tissue defects were treated by Ilizarov technique from January 2007 to June 2016. Two subgroups were treated by either bone transport (group A) containing 28 cases or bone shortening-lengthening (group B) including 22 cases. RESULTS: Bony union was achieved at the distracted sites with a mean of 236 days in group A, while 240 days in group B, showing no significant difference (t = -0...
December 28, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29273188/ruptured-pseudoaneurysm-of-the-lateral-plantar-artery-after-tibiotalocalcaneal-fusion-with-retrograde-nail-a-rare-complication
#5
Silvampatti Ramaswamy Sundararajan, Ramakanth Rajagopalakrishnan, Shanmuganathan Rajasekaran
We report a rare presentation of a ruptured pseudoaneurysm of the lateral plantar artery following tibiotalocalcaneal fusion with a retrograde nail at 1 month after the index surgery. Although case reports of pseudoaneurysms of larger arteries such as the anterior tibial artery and posterior tibial artery after ankle surgery (e.g., ankle arthroscopy, implant removal, Ilizarov application) have been reported, we report a rare complication of a pseudoaneurysm of the lateral plantar artery. We discuss the anatomic considerations of the lateral plantar artery in the foot and the entry point of the retrograde nail to avoid this unusual complication...
December 19, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29234650/experience-in-fixation-of-infected-non-union-tibia-by-ilizarov-technique-a-retrospective-study-of-42-cases
#6
Jimmy Joseph Meleppuram, Syed Ibrahim
Objective: The aim of the study is to evaluate the clinical and functional outcome in treatment of infected tibial nonunion by the Ilizarov method. Methods: The authors retrospectively analyzed 42 patients with infected tibial nonunion with bone loss; shortening and deformity treated at this institution during the period of February 2012 to April 2015 were included in the study. The results were evaluated according to Association for the Study and Application of the Methods of Ilizarov (ASAMI) criteria...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29231776/ilizarov-technique-combined-with-limited-adjunctive-surgical-procedures-for-correction-of-relapsed-talipes-equinovarus-in-children
#7
Xiao-Jian Wang, Feng Chang, Yun-Xing Su, Xiao-Chun Wei, Lei Wei
Objective To evaluate the efficacy and safety of using the Ilizarov invasive distraction technique combined with limited surgical operations in the treatment of relapsed talipes equinovarus in children. Methods This retrospective study analysed the outcomes of paediatric patients with relapsed talipes equinovarus who were treated with the Ilizarov technique with moderate open limited soft tissue or bony operations. The International Clubfoot Study Group (ICFSG) classification system score was used to evaluate the deformities before and after surgery...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/29182115/management-of-adolescent-tibia-vara-using-taylor-spatial-frame
#8
M A Meselhy
PURPOSE: Adolescent tibia vara is a multiplanar deformity that can lead to progressive deformity, altered gait, unequal leg lengths, and premature knee arthritis if uncorrected. The purpose of the current study is to report our experience in management of adolescent tibia vara using Taylor Spatial Frame (TSF). MATERIALS AND METHODS: A prospective study of eleven adolescent tibia vara patients managed by proximal tibial osteotomy gradual deformity correction using TSF...
December 2016: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/29178906/femoral-nonunion-with-segmental-bone-defect-treated-by-distraction-osteogenesis-with-monolateral-external-fixation
#9
Qun Zhang, Wei Zhang, Zhuo Zhang, Licheng Zhang, Hua Chen, Ming Hao, Junhao Deng, Peifu Tang
BACKGROUND: Currently, the common treatment for femoral nonunion with large segmental bone defect is difficult and complex. The effective surgical methods are rare, include vascularized bone grafting, Masquelet technique and Ilizarov distraction osteogenesis. The objective of this study is to investigate the outcomes of segmental femoral defects treated with monolateral external fixation using the distraction osteogenesis. METHODS: We retrospectively analyzed patients with femoral nonunion with segmental bone defects (> 6 cm) between January 2010 and January 2014 in our single trauma center...
November 25, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29170505/ilizarov-external-fixation-versus-plate-internal-fixation-in-the-treatment-of-end-stage-ankle-arthritis-decision-analysis-of-clinical-parameters
#10
Jun Li, Bohua Li, Zhengdong Zhang, Shanxi Wang, Lei Liu
The purpose of this study was to evaluate the effect of Ilizarov external fixation (IEF) and plate internal fixation (PIF) in the treatment of end-stage ankle arthritis on pain relieving and function improvement. The study cohort consisted of 59 patients with end-stage ankle arthritis underwent ankle arthrodesis with IEF or PIF between June 2011 and June 2015. Standard radiographs and computed tomography (CT) scans were obtained before surgery and during the follow-up. Functional assessments were performed using Foot and Ankle pain score of American Orthopedics Foot and Ankle Society (AOFAS) and Visual Analogue Scale (VAS)...
November 23, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29160725/management-of-neurologic-deformity-of-the-ankle-and-foot-with-concurrent-osteomyelitis-with-the-ilizarov-method
#11
Nikolay Mikhailovich Kliushin, Anatoliy Sergeyevich Sudnitsyn, Koushik Narayan Subramanyam, Jefferson George
BACKGROUND: The combination of neurologic deformity of the ankle and foot with osteomyelitis is a therapeutic challenge. We investigated the role of Ilizarov with regard to eradication of infection, correction of deformities and improvement of patient function. METHODS: We retrospectively reviewed 77 patients (77 feet) with neurologic deformity of the ankle and foot with osteomyelitis treated sequentially in 3 stages by Ilizarov method. The 3 stages were (1) active debridement and Ilizarov stabilization, (2) further strengthening of Ilizarov fixator and active osteosynthesis consisting of strategies like arthrodesis, osteotomy distraction, bone transport, or combination thereof, (3) consolidation of fusion/regeneration achieved in second stage...
November 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29156162/the-evolution-of-limb-deformity-what-has-changed-over-the-past-ten-years
#12
REVIEW
Jessica L Wilczek, Guido A LaPorta
Limb deformity correction has been widely discussed in orthopedic literature with an increasing interest in technologically based surgical strategies. However, principles described by Ilizarov and Paley still form the basis of these newly developing surgical systems. The recent advances and increased use of computers and mobile devices in the medical arena, along with the application of dynamic hexapod external fixation, have allowed for easier and more convenient strategies, leading to a greater outreach and more confidence in the newer surgeon when faced with addressing a patient with a limb deformity...
January 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29137077/quality-of-life-and-complications-at-the-different-stages-of-bone-transport-for-treatment-infected-nonunion-of-the-tibia
#13
Hu Wang, Xing Wei, Ping Liu, Ya-Hui Fu, Peng-Fei Wang, Yu-Xuan Cong, Bin-Fei Zhang, Zhong Li, Jin-Lai Lei, Kun Zhang, Yan Zhuang
The aim of this study was to assess Physical Component Summary (PCS), Mental Component Summary (MCS) of the Mos 36-item Short Form Health Survey (SF-36) score, and the virtual Analogue Scale (VAS) of pain during the treatment period and the complication rate associated with infected nonunion of the tibia managed surgically by bone transport.This is a retrospective analysis of prospectively collected data in a consecutive patient cohort. Patients suffering from infected nonunion of the tibia were treated by bone transport from 2012 to 2014...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29129017/double-level-bone-transport-for-large-post-traumatic-tibial-bone-defects-a-single-centre-experience-of-sixteen-cases
#14
Yanlong Zhang, Yong Wang, Jun Di, Aqin Peng
PURPOSE: The aim of this study was to evaluate the clinical and functional outcomes of patients with large post-traumatic tibial bone defects managed by double-level bone transport using the Ilizarov technique. METHODS: We retrospectively reviewed 16 patients of 39.1 years (range, 16.0-65.0 years). The bone defects averaged 10.9 ± 3.8 cm (range: 6.0 cm-20.0 cm) after radical resection and were managed by double-level bone transport. Bone and functional results were evaluated according to the ASAMI criteria...
November 11, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29122280/the-psychological-impact-of-external-fixation-using-the-ilizarov-or-orthofix-lrs-method-to-treat-tibial-osteomyelitis-with-a-bone-defect
#15
Alimujiang Abulaiti, Yilizati Yilihamu, Tayierjiang Yasheng, Yamuhanmode Alike, Aihemaitijiang Yusufu
OBJECTIVE: To examine the psychological impact of external fixation for a tibial bone defect due to osteomyelitis, and to compare the Orthofix limb reconstruction system (LRS) with the Ilizarov external fixator. MATERIALS AND METHODS: The SCL-90-R questionnaire was administered at four different time points (before surgery, while patients wore the external fixation device, when the device was removed, and two to three months after). The scores at the four time points were compared, as were the two different methods of external fixation (Orthofix LRS vs...
November 6, 2017: Injury
https://www.readbyqxmd.com/read/29067964/reconstruction-of-tibial-nonossifying-fibroma-accompanying-with-undetected-ewing-s-sarcoma-by-ilizarov-method
#16
Xue-Hui Liu, Ge Sun, Chang-Gui Tong, Zhi-Hong Tong, Hai-Dong Liang
No abstract text is available yet for this article.
November 5, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/29035584/hybrid-fixation-for-ankle-fusion-in-diabetic-charcot-arthropathy
#17
Hani El-Mowafi, Mazen Abulsaad, Yasser Kandil, Ahmed El-Hawary, Samer Ali
BACKGROUND: Ankle fusion is difficult to achieve in the diabetic Charcot ankle Brodsky type 3a because of the poor quality of the bone and the inability to achieve a stable biomechanical construct. The aim of this study was to report the outcome of ankle fusion using a combination of an intramedullary nail and a circular external fixator in patients with diabetic Charcot arthropathy. METHODS: We prospectively studied 24 patients with diabetic Charcot arthropathy of the ankle who were treated by fusion of the tibiotalar joint using a combined retrograde intramedullary nail and Ilizarov external fixator...
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28979852/benefits-of-ilizarov-automated-bone-distraction-for-nerves-and-articular-cartilage-in-experimental-leg-lengthening
#18
Nathalia Shchudlo, Tatyana Varsegova, Tatyana Stupina, Michael Shchudlo, Marat Saifutdinov, Andrey Yemanov
AIM: To determine peculiarities of tissue responses to manual and automated Ilizarov bone distraction in nerves and articular cartilage. METHODS: Twenty-nine dogs were divided in two experimental groups: Group M - leg lengthening with manual distraction (1 mm/d in 4 steps), Group A - automated distraction (1 mm/d in 60 steps) and intact group. Animals were euthanized at the end of distraction, at 30(th) day of fixation in apparatus and 30 d after the fixator removal...
September 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28945687/can-repeated-ponseti-management-for-relapsed-clubfeet-produce-the-outcome-comparable-with-the-case-without-relapse-a-clinical-study-in-term-of-gait-analysis
#19
Yu-Bin Liu, Shu-Yun Jiang, Li Zhao, Yan Yu, Da-Hang Zhao
BACKGROUND: The prevention and treatment of relapsed clubfoot remained challenging tasks. There were controversies as to treatment options and management, such as complete subtalar release, application of an Ilizarov external frame, or repeated Ponseti method; and different options were available in different treatment centers. This study was designed to evaluate the clinical outcome of relapsed clubfeet treated by repeated Ponseti method in comparison with the cases without relapse in term of gait analysis and to clarify the clinical efficacy of repeated Ponseti method in treating the relapsed clubfeet...
September 22, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28938393/ilizarov-treatment-protocols-in-the-management-of-infected-nonunion-of-the-tibia
#20
Martin McNally, Jamie Ferguson, Raj Kugan, David Stubbs
OBJECTIVES: We present a treatment algorithm comprising 4 Ilizarov methods in managing infected tibial nonunion, using nonunion mobility and segmental defect size to govern treatment choice. DESIGN: Decision protocol analysis study. SETTING: A university-affiliated teaching hospital. PATIENTS/PARTICIPANTS: Seventy-nine patients were treated with 1 of 4 Ilizarov protocols. All patients had undergone at least one previous operation, 38 had associated limb deformity, and 49 had nonviable nonunions...
October 2017: Journal of Orthopaedic Trauma
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