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Ilizarov frame

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https://www.readbyqxmd.com/read/28148662/intra-articular-corrective-osteotomies-combined-with-the-ilizarov-technique-for-the-treatment-of-deformities-of-the-knee
#1
J Xu, Y Jia, Q Kang, Y Chai
AIMS: To present our experience of using a combination of intra-articular osteotomy and external fixation to treat different deformities of the knee. PATIENTS AND METHODS: A total of six patients with a mean age of 26.5 years (15 to 50) with an abnormal hemi-joint line convergence angle (HJLCA) and mechanical axis deviation (MAD) were included. Elevation of a tibial hemiplateau or femoral condylar advancement was performed and limb lengthening with correction of residual deformity using a circular or monolateral Ilizarov frame...
February 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28144578/unhappy-triad-in-limb-reconstruction-management-by-ilizarov-method
#2
Barakat Sayed El-Alfy
AIM: To evaluate the results of the Ilizarov method in management of cases with bone loss, soft tissue loss and infection. METHODS: Twenty eight patients with severe leg trauma complicated by bone loss, soft tissue loss and infection were managed by distraction osteogenesis in our institution. After radical debridement of all the infected and dead tissues the Ilizarov frame was applied, corticotomy was done and bone transport started. The wounds were left open to drain...
January 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28040086/monofocal-bone-transport-technique-for-bone-defects-greater-than-5-cm-in-tibia-our-experience-in-a-case-series-of-24-patients
#3
Kemal Aktuglu, Hüseyin Günay, Jabrayil Alakbarov
BACKGROUND: As the tibial bone defect increases in size, the problems in treatment also increase. The treatment may be problematic but different treatment approaches can be used. Among these approaches, distraction osteogenesis is a method an orthopedic surgeon with limited conditions can use although it has a longer treatment period. In our case series, we evaluated current treatment approaches. METHOD: Retrospective study based on patient records and radiographs...
December 2016: Injury
https://www.readbyqxmd.com/read/28027146/gradual-deformity-correction-in-blount-disease
#4
Stephanie W Mayer, Elizabeth W Hubbard, Dan Sun, Robert K Lark, Robert D Fitch
BACKGROUND: Blount disease is a disorder of the posteromedial proximal tibial physis which causes a progressive varus, procurvatum, and internal rotation deformity of the tibia. Untreated, it can cause significant limb malalignment. The goal of this study is to evaluate the results of correction of Blount disease using types of external fixation. METHODS: We conducted a retrospective review of 41 patients (51 limbs) who underwent correction of Blount disease with an Ilizarov external fixator or a Taylor spatial frame (TSF) by a single surgeon...
December 23, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28018070/accordion-maneuver-with-modified-ilizarov-frame-for-treatment-of-recalcitrant-nonunion-of-shaft-of-femur-in-a-patient-with-pycnodysostosis
#5
Ranjit Kumar Baruah, Russel Haque
Accordion Maneuver is a strong "Bloodless Tool" in the Ilizarov technology, that helps to bring about healing of nonunion of fractures of long bones. A 50 years old male, a rare case of Pycnodysostosis, presented to us with recalcitrant nonunion of the fracture shaft of the femur after two failed surgical attempts, with a broken plate in the last attempt. We treated this very difficult nonunion by Ilizarov monofocal osteosynthesis with Accordion Maneuver that finally yielded union. This appears to be the only case report of treating such a case with Accordion Maneuver...
October 2016: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/27933259/deformity-correction-and-extremity-lengthening-in-the-lower-leg-comparison-of-clinical-outcomes-with-two-external-surgical-procedures
#6
Eugen Reitenbach, Robert Rödl, Georg Gosheger, Björn Vogt, Frank Schiedel
OBJECTIVE: Distraction osteogenesis is a method of stimulating the growth of new bone tissue in order to lengthen the extremities or bridge resected bone defects. In addition to the now-established intramedullary procedures, two different fixator systems are in use. The present study investigated the classical Ilizarov ring fixator (IRF) and a hexapod to assess the precision of lower-leg lengthening and complications classified using the Paley criteria for problems, obstacles, and complications...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27896679/what-are-the-biomechanical-properties-of-the-taylor-spatial-frame%C3%A2
#7
Daniel J Henderson, Jeremy L Rushbrook, Paul J Harwood, Todd D Stewart
BACKGROUND: The Taylor Spatial Frame™ (TSF) is a versatile variant of the traditional Ilizarov circular fixator. Although in widespread use, little comparative data exist to quantify the biomechanical effect of substituting the tried-and-tested Ilizarov construct for the TSF hexapod system. QUESTIONS/PURPOSES: This study was designed to investigate the mechanical properties of the TSF system under physiologic loads, with and without the addition of a simulated bone model, with comparison to the standard Ilizarov frame...
November 28, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27837313/cosmetic-lengthening-what-are-the-limits
#8
F Guerreschi, H Tsibidakis
OBJECTIVES: In the last decades, limb lengthening has not been limited to the treatment of patients with dwarfism and deformities resulting from congenital anomalies, trauma, tumor and infections, but, has also been used for aesthetic reasons. Cosmetic lengthening by the Ilizarov method with circular external fixation has been applied to individuals with constitutional short stature who wish to be taller. MATERIALS AND METHODS: From January 1985 to December 2010, the medical records of 63 patients with constitutional short stature (36 M, 27F; 126 legs) who underwent cosmetic bilateral leg lengthening using a hybrid advanced fixator according to the Ilizarov method, were reviewed, retrospectively...
December 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27826905/current-approaches-to-flexible-intramedullary-nailing-for-bone-lengthening-in-children
#9
REVIEW
Dmitry Popkov, Pierre Lascombes, Pierre Journeau, Arnold Popkov
Limb-length discrepancies and extremity deformities are among the most common non-traumatic orthopaedic conditions for which children are hospitalised. There is a need to develop new treatment options for lower-limb length discrepancy in order to ameliorate treatment outcomes, avoid or reduce rates of complication and provide early rehabilitation. The authors report on the basic principles, experimental and clinical data, advantages, problems and complications of a combined technique associating the Ilizarov method and flexible intramedullary nailing (FIN) in limb lengthening and deformity correction in children...
December 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27766431/ilizarov-fixation-for-the-treatment-of-scaphoid-nonunion-a-novel-approach
#10
Marko Bumbaširević, Tomislav Palibrk, Henry Dushan E Atkinson, Aleksandar Lešić
OBJECTIVES: To evaluate the safety and efficacy of the Ilizarov fine-wire compression/distraction technique in the treatment of scaphoid nonunion (SNU), without the use of bone graft. DESIGN: This is a prospective study of 20 consecutive patients in one center. PATIENTS AND METHODS: This study included 20 patients (19 males) with a mean SNU duration of 14.5 months. Four patients had proximal pole, 15 had waist, and 1 had a distal SNU. Patients with carpal instability, humpback deformities, carpal collapse, avascular necrosis, and marked degenerative change were excluded...
October 20, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27693868/ilizarov-bone-transport-after-massive-tibial-trauma-case-report
#11
Nader S Alkenani, Mariam A Alosfoor, Abdulaziz K Al-Araifi, Hala A Alnuaim
INTRODUCTION: This is a case report of extreme lengthening of the tibia of about 14.5cm using bone transport technique following road traffic accident trauma to the lower limbs. The management of the subsequent massive skeletal defects was challenging to orthopedic surgeons. Based on reported cases, the highest tibial lengthening was 22cm using bifocal transport, while the highest unifocal tibial lengthening reached 14.5cm. CASE PRESENTATION: A 20-year-old male driver was brought to the emergency department after a road traffic accident...
September 3, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27660248/distraction-osteogenesis-for-tibial-nonunion-with-bone-loss-using-combined-ilizarov-and-taylor-spatial-frames-versus-a-conventional-circular-frame
#12
Ibrahim Elsayed Abdellatif Abuomira, Francesco Sala, Yasser Elbatrawy, Giovanni Lovisetti, Salvatore Alati, Dario Capitani
This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I-TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I-TSF were compared with 25 patients treated with a conventional circular frame. In the I-TSF group, an average of 7.6 cm of bone was resected and the lengthening index (treatment time in months divided by lengthening amount in centimeters) was 1...
November 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/27587532/ilizarov-tibial-lengthening-in-the-skeletally-immature-patient
#13
L T Donnan, B Gomes, A Donnan, C Harris, I Torode, C Heidt
AIMS: We wished to examine the effectiveness of tibial lengthening using a two ring Ilizarov frame in skeletally immature patients. This is a potentially biomechanically unstable construct which risks the loss of axial control. PATIENTS AND METHODS: We retrospectively reviewed a consecutive series of 24 boys and 26 girls, with a mean age of 8.6 years (4 to 14), who underwent 52 tibial lengthening procedures with a mean follow-up of 4.3 years (4.0 to 16.9). Tibial alignment was measured before and after treatment using joint orientation lines from the knee and a calculation of the oblique plane axis...
September 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27299056/single-stage-tibial-osteotomy-and-long-stem-total-knee-arthroplasty-to-correct-adverse-consequences-of-unequal-tibial-lengthening-with-an-ilizarov-circular-fixator
#14
M D Fletcher
INTRODUCTION: Correction of limb alignment or length discrepancy by circular external fixation is an accepted technique which relies on the correct biomechanical application of the frame and precise corrections which are frequently delegated to the patient to perform. Errors can occur in the execution of the correction by the patient and may result in significant deformity that requires remedial intervention. CASE REPORT: A 67 Caucasian female underwent multifocal limb reconstruction of the lower limb utilising a complex Ilizarov frame...
July 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27114814/bone-transport-for-limb-reconstruction-following-severe-tibial-fractures
#15
Julian Fürmetz, Chris Soo, Wolf Behrendt, Peter H Thaller, Holger Siekmann, Jörg Böhme, Christoph Josten
A common treatment of tibial defects especially after infections is bone transport via external fixation. We compare complications and outcomes of 25 patients treated with a typical Ilizarov frame or a hybrid system for bone reconstruction of the tibia. Average follow up was 5.1 years. Particular interest was paid to the following criteria: injury type, comorbidities, development of osteitis and outcome of the different therapies. The reason for segmental resection was a second or third grade open tibia fractures in 24 cases and in one case an infection after plate osteosynthesis...
March 21, 2016: Orthopedic Reviews
https://www.readbyqxmd.com/read/27072558/external-fixation-of-paediatric-subtrochanteric-fractures-using-calcar-rather-than-neck-pins
#16
Sherif Galal
UNLABELLED: Subtrochanteric femoral fractures in children are uncommon and have received limited attention in the literature. Its treatment is controversial, and different options are available: traction, spica casting, internal fixation and external fixation. The aim of this study is to present our results with external fixation of subtrochanteric femoral fractures in children using Ilizarov frame. Between January 2012 and January 2014, 14 patients with closed subtrochanteric femoral fractures were treated in Cairo University School of Medicine Teaching Hospital...
August 2016: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/26969947/treatment-of-infected-nonunion-of-the-juxta-articular-region-of-the-distal-tibia
#17
İsmail Levent Eralp, Mehmet Kocaoğlu, Göksel Dikmen, Mohsin E Azam, Halil İbrahim Balcı, F Erkal Bilen
OBJECTIVE: The purpose of this study was to summarize our clinical results with distraction osteogenesis for the treatment of infected tibial nonunion around the ankle joint. METHODS: Between 1994 and 2009, 13 patients with a mean age of 50 years (range: 27-79 years) underwent tibial reconstruction for the treatment of infected nonunion of the distal tibia, with a mean bone loss of 4.8 cm (range: 1-7 cm). Lengthening over an intramedullary nail as a second procedure was used in 2 patients, bifocal compression and distraction technique in 5 cases, compression with Ilizarov external fixator in 5 cases, and Taylor Spatial Frame (TSF, Smith Nephew, Memphis, TN, USA) in 1 case...
2016: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/26948238/management-of-post-traumatic-bone-defects-of-the-tibia-using-vascularised-fibular-graft-combined-with-ilizarov-external-fixator
#18
Ahmad El-Sayed Semaya, Ehab Badawy, Mohammad Hasan, Ramy Mohammad El-Nakeeb
INTRODUCTION: Post-traumatic bone defects of the tibia present a difficult reconstructive challenge. Various methods of reconstruction are available, such as allografts, vascularised fibular graft (either free or pedicled) and bone transport technique. PATIENTS AND METHODS: Fourteen patients with an average age of 34.1 years at operation (range, 12-65) with post-traumatic bony defects of the tibia were selected for reconstruction with vascularised fibular graft combined with Ilizarov external fixation...
April 2016: Injury
https://www.readbyqxmd.com/read/26878533/protection-of-heel-flaps-with-ilizarov-fixator-as-an-elevation-frame-a-case-series-and-review-of-literature
#19
Sadaf Saeed, Syed Kamran Ahmed, Muhammad Amin Chinoy, Mansoor Ali Khan
OBJECTIVE: To compare outcome of Ilizarov fixator for protection of heel and foot flaps with that of plaster of Paris boot technique. METHODS: The retrospective chart review was conducted at The Indus Hospital, Karachi, and comprised data of patients who underwent flap reconstruction of the heel from January 2011 to December 2014. All patients had a minimum follow-up of 3 months. The patients using Ilizarov fixator were placed in group A and those with modified plaster of Paris boot as the elevation device were placed in group B...
November 2015: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/26878516/effectiveness-of-ilizarov-frame-fixation-on-functional-outcome-in-aseptic-tibial-gap-non-union
#20
Rana Dawood Ahmad Khan, Muhammad Asif Maqbool, Ajmal Yasin
OBJECTIVE: The Objective of the study is to evaluate the effect of Ilizarov frame fixation on functional outcome in aseptic tibial gap non-union cases. METHODS: In this clinical study, 15 cases of post-traumatic aseptic tibial gap non-union were selected in department of orthopedics, Allied Hospital Faisalabad, Punjab Pakistan, during years 2013-2014. After blood analysis and clinical assessment, the aseptic gap nonunion cases underwent ilizarov frame fixation for their problem...
November 2015: JPMA. the Journal of the Pakistan Medical Association
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