Deformity Correction of Lower Extremities by Application of Ilizarov
OBJECTIVE: To assess the osteotomy results and application of Ilizarov to lower limb deformities. METHODOLOGY: This case series study on twenty-three patients of either sex was conducted in Akbar Medical Center Peshawar from November 2016 to April 2021. The ages of the patients were ten and above....
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Liaquat University of Medical and Health Sciences
2023-11-01
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| Series: | JLUMHS |
| Subjects: | |
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| Summary: | OBJECTIVE: To assess the osteotomy results and application of Ilizarov to lower limb deformities.
METHODOLOGY: This case series study on twenty-three patients of either sex was conducted in Akbar Medical Center Peshawar from November 2016 to April 2021. The ages of the patients were ten and above. To reduce the bias, we have excluded patients with diabetes mellitus, patients on oral anticoagulants, tobacco addicts and those on steroid or immunocompromised patients. Preoperatively, the deformity was calculated to determine how long it would take to correct, so double the time was required to consolidate the callus at the corticotomy site when it was corrected. So, some frames were removed early while others were removed late. All the data were collected with the help of a proforma and then entered into SPSS version 20 for analysis.
RESULTS: There were 23 patients, nine males (39.1%) and fourteen females (60.9%). The mean age was 19.39, the minimum was 10, and the maximum was 40 years. Both sides were involved 6(26.1%) in while right 9(39.1%) was involved in and left 8(34.8%) in cases. Site of deformity was ankle in 4(17.4%), femur in 4(17.4%), knee in 8(34.8%) while tibia was involved in 7(30.4%) cases. A single osteotomy was done in 16(69.6%) cases, while a double osteotomy was done in 7(30.4%) cases due to the CORA being calculated in two places. Ten (43.5%) cases were complication-free, while there was acceptable residual deformity in 4(17.4%), pin lessening in 2(8.7%), pin tract infection in 3(13.0%), and restricted knee movement in 4(17.4%).
CONCLUSION: The Ilizarov External fixator is best for deformity correction in all dimensions and directions if the patient and attendant complain otherwise. |
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| ISSN: | 1729-0341 2309-8627 |