Ilizarov Surgery Technique for Limb Reconstruction
Overview of Ilizarov Technique:
Name Ilizarov was taken from Dr. Gavril Abramonavich Ilizarov. He gave the concept of bone regeneration by the distraction of bone fragments after osteotomy. He came into the limelight when well known Olympic jumper Velery Brumel in 1968, when he got multiple fractures and was not united in spite of many surgeries and even got infected and limb shortening. Dr. G A Ilizarov had used his innovative idea of bone regeneration and this athletic was back to his athletic career.
The procedure of Ilizarov Surgery:
In Ilizarov surgery, bones are being cut and will be fixed by the ring design by Ilizarov. The bone will be held by the ring through fine wire going through bones then bone transport will be done to increase the distance between the bone ends at a fixed rate of distraction. New bone will be formed in between.
Advantages of Ilizarov Method:
By the Ilizarov we increase the length of bone, can get the union in non-united fracture, can get rid of the bone infection by distraction & compression, and can correct the bone deformity.
Disadvantages of Ilizarov Method:
If properly performed then there is no disadvantage of this technique except for long time wearing of rings and care needed by them.
Principles of Ilizarov Method:
Ilizarov’s principle is based on the concept of the new blood vessel and bone tissue at the site of corticomy with slow distraction & stability given by the ring fixator. It means that by saving the circulation of bone fragments during cutting of bone and by the slow distraction new vessel will be formed that will increase the circulation and new bone formation will take place by the increase of osteoblastic activity.
Uses of Ilizarov Method:
Ilizarov methods are being used in a variety of bony problems and vascular issues. It is being used to treat complicated limb fracture, bony and joint deformity, limb lengthening, infected non-union & vascular ischaemia etc.
Complications of Ilizarov Surgery:
A complication of Ilizarov surgery is many. It includes vessel injury, bone infection, failure of surgery, re-fracture etc. All these complications are preventable if properly planned. Patient need to aware of these complications and they need to be under strict follow up of an orthopedic surgeon
Frequently Asked Questions
How much time does Ilizarov Surgery takes?
It depends upon type of surgery
How painful is limb lengthening surgery?
You will be under anesthesia during surgery, so you will not feel any kind of pain. But after surgery You may feel some uneasiness as you will wear the frame.but most of time it is comfortable. You may need oral pain killer tablets for few days. Exercise will lessen the pain.
Dr. Jitendra Kumar Jain is a famous name in the field of childhood physical disability pediatric orthopedic problems in North India. He has been an MS Orthopedics, DNB Orthopedics, Pediatric orthopedic surgeon & also a cerebral palsy specialist for over 21 years.
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Dr. Jitendra Kumar Jain
Trishla Orthopedic Clinic & Rehab center, 182C / 350A, Tagore Town, Prayagraj (Allahabad) U.P-211002, India