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Ilizarov frame

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https://www.readbyqxmd.com/read/28650942/open-supracondylar-intercondylar-fractures-of-the-femur-treatment-with-taylor-spatial-frame
#1
Francesco Sala, Ahmed M Thabet, Paolo Capitani, Federico Bove, Amr A Abdelgawad, Giovanni Lovisetti
OBJECTIVES: Evaluate the Taylor spatial frame (TSF) for primary and definitive fixation of open supracondylar-intracondylar femoral (SIF) fractures. DESIGN: Retrospective. SETTING: Level I trauma center. PATIENTS: Subset of 20 SIF open fractures treated with TSF extracted from a consecutive series of 80 SIF fractures treated between 2007 and 2013. INTERVENTION: Eighteen (90%) fractures underwent definitive fixation with the TSF; 2 were treated primarily within 24 hours of injury...
June 15, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28545726/closed-tibial-shaft-fractures-treated-with-the-ilizarov-method-a-ten-year-case-series
#2
Jonathan David May, Thumri Paavana, Jonathan McGregor-Riley, Simon Royston
OBJECTIVES: To review the outcomes of patients treated with the Ilizarov method for an isolated, closed, simple diaphyseal, Tibial fracture at our institution over the last decade. METHODS: The Ilizarov frame database was used to identify 76 skeletally mature patients who sustained an isolated, closed, extra-articular, simple, diaphyseal Tibial fracture; the injury also known as a "nail-able Tibial fracture." RESULTS: The average age of the patient was 38 (17-70)...
May 15, 2017: Injury
https://www.readbyqxmd.com/read/28385939/low-intensity-pulsed-ultrasound-does-not-influence-bone-healing-by-distraction-osteogenesis-a-multicentre-double-blind-randomised-control-trial
#3
RANDOMIZED CONTROLLED TRIAL
A H R W Simpson, G Keenan, S Nayagam, R M Atkins, D Marsh, N D Clement
AIMS: The aim of this double-blind prospective randomised controlled trial was to assess whether low intensity pulsed ultrasound (LIPUS) accelerated or enhanced the rate of bone healing in adult patients undergoing distraction osteogenesis. PATIENTS AND METHODS: A total of 62 adult patients undergoing limb lengthening or bone transport by distraction osteogenesis were randomised to treatment with either an active (n = 32) or a placebo (n = 30) ultrasound device...
April 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28365167/outcomes-of-the-ilizarov-frame-use-in-elderly-patients
#4
Efthymios Iliopoulos, Natasha Morrissey, Seok Cho, Arshad Khaleel
AIM: The use of circular frame is widely accepted. This is an outcome review on use of circular Ilizarov frame in elderly patients. MATERIALS & METHODS: Data from all patients treated with an Ilizarov circular frame between January 2002 and December 2014, who were 65 years of age or over at surgery was collected. Seventy Ilizarov circular frames were applied during this period in our unit at a mean age of 71.2 years. Clinical, radiological and quality of life questionnaire (SF-12) data were gathered...
March 30, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28272013/when-traditional-offloading-is-not-an-option-could-an-external-fixator-be-a-solution-a-case-report
#5
Abdulaziz A Kimawi, Robert J Snyder, Mario A Cala, Cherison Cuffy
Offloading is a cornerstone in managing diabetic plantar foot ulcers; however, it often represents one of the most challenging aspects of treatment for clinician and patient alike. The authors present a case of a 61-year-old African American man with type 2 diabetes and a limb-threatening plantar foot ulcer that required aggressive wound and surgical management. Due to the heavy drainage and patient adherence issues, traditional offloading techniques such as total contact cast, DH Pressure Relief Walker (Össur, Foothill Ranch, CA), and wedge shoes, among others, were not viable options...
February 2017: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/28148662/intra-articular-corrective-osteotomies-combined-with-the-ilizarov-technique-for-the-treatment-of-deformities-of-the-knee
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
COMPARATIVE STUDY
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...
May 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27837313/cosmetic-lengthening-what-are-the-limits
#13
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
#14
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
#15
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...
January 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27693868/ilizarov-bone-transport-after-massive-tibial-trauma-case-report
#16
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
#17
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
#18
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
#19
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
#20
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
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