Bone Lengthening (Ilizarov Method)
What is Bone Lengthening (Ilizarov Method)?
The Ilizarov method is a surgical technique used to lengthen bones, correct deformities, and treat complex fractures. It involves the use of an external fixator, the Ilizarov apparatus, which consists of rings, wires, and rods that stabilize the bone. The method relies on the principle of distraction osteogenesis, where gradual tension applied to the bone stimulates new bone growth.
When is Surgery Necessary?
The Ilizarov method is used for:
Limb Length Discrepancies: To correct differences in leg or arm length.
Deformity Correction: To correct angular, rotational, or translational deformities.
Nonunions and Malunions: To treat fractures that fail to heal or heal improperly.
Bone Defects: To fill gaps in bone caused by trauma, infection, or surgery.
Congenital Conditions: such as Achondroplasia.
Surgical Procedure
Corticotomy: A controlled surgical cut is made in the bone.
Ilizarov Apparatus Application: The external fixator is applied, with rings and wires securing the bone segments.
Distraction Phase: After a latency period, the bone segments are gradually separated, stimulating new bone growth. This is typically done by the patient or caregiver, following a prescribed schedule.
Consolidation Phase: Once the desired length or correction is achieved, the fixator remains in place to allow the new bone to strengthen.
Apparatus Removal: Once the bone has healed sufficiently, the Ilizarov apparatus is removed.
Recovery
Prolonged Treatment: The treatment process can take several months, depending on the extent of lengthening or correction.
Regular Adjustments: Frequent adjustments to the Ilizarov apparatus are required.
Physical Therapy: Rehabilitation is crucial for maintaining joint mobility and muscle strength.
Pin Site Care: Meticulous care of the pin sites is essential to prevent infection.
Follow up: Regular follow up with the surgeon is needed.
Disclaimer
This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.