Biomedical subjects
R J Langerman
Publications and source records attributed to R J Langerman.
The Ilizarov technique in ankle fusion.
Failed ankle arthrodesis represents a significant challenge to the orthopaedist today. The complexity of this problem is further increased when associated with additional complications, such as osteomyelitis, leg length discrepancy, or concomitant foot deformity. In many instances, the only viable salvage alternative is amputation. The authors report 21 cases of complex distal tibial pathology or failed ankle arthrodesis treated with the Ilizarov external fixator. Of the 20 cases available for follow-up evaluation, 16 (80%) achieved good results with solid ankle arthrodesis and resolution of associated pathology. The Ilizarov fixator may be a viable clinical tool in these difficult cases in which amputation is the alternative.
The Ilizarov technique in ankle fusion: a preliminary report.
Complex distal tibia fractures and failed ankle arthrodesis represent a significant challenge to today's orthopaedic surgeon. The complexity of these problems is further increased when associated with additional complications such as osteomyelitis, leg length discrepancy or concomitant foot deformity. In many instances, the only viable salvage alternative is amputation. The following is a preliminary report of nineteen cases of complex distal tibia pathology or failed ankle arthrodesis treated with the Ilizarov external fixator apparatus. Of the eighteen cases available for follow-up, fifteen (83.3%) achieved good results with solid ankle arthrodesis and resolution of associated pathology. The Ilizarov may be a viable clinical tool in these difficult cases where amputation is the alternative.