Gavriel A. Ilizarov: "the magician from Kurgan". 1988.
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Fractures, Bone↗
Biomedical subjects
V Golyakhovsky
Publications and source records attributed to V Golyakhovsky.
Posttraumatic nonunion of the distal tibial metaphysis. Treatment using the Ilizarov circular external fixator.
Ten nonunions of the distal tibial metaphysis were treated by using the Ilizarov circular external fixator. Original fractures were classified in terms of the Association for the Study of Internal Fixation as AO type A (4 cases), type B (5 cases), and type C (1 case). Six patients had a history of osteomyelitis. Bifocal compression-distraction lengthening osteosynthesis was performed in all cases. Proximal metaphyseal corticotomy was combined with resection and compression of the distal nonunion site in five cases, and compression alone in three patients. Ankle arthrodesis, in addition to nonunion resection, was performed in two patients. Follow-up averaged 48 months (range, 26 to 81). Eight nonunions healed (80%). Limb length was completely corrected in five cases; angular and rotational alignment was corrected to within 5 degrees in seven patients (70%). Based on an objective and subjective scale, the results were considered good-to-excellent in seven cases and poor in three. Despite the high complication rate and relatively low success rate (70%), the use of the circular frame with small-diameter, tensioned wires may provide an alternative method for the treatment of the very difficult problems associated with complex low distal tibial metaphyseal nonunions.
Adult↗
Humeral lengthening and bone transport using the Ilizarov technique.
The authors present their results of Ilizarov treatment of eight humeral length deficits and bone defects in seven consecutive patients treated at the Hospital for Joint Diseases. The mean humeral lengthening achieved was 9.8 cm. The lengthening goal was completely achieved in six cases, while two cases achieved over 80% of the desired length. No permanent neurovascular or infectious complication occurred. The authors suggest that the Ilizarov technique is a viable method in treating severe humeral length deficits or bone defects.
Adolescent↗
New method of limb deformities correction in children.
A new "bloodless" technique (Ilizarov) was used to correct 36 limb deformities in 29 children. There were six leg length discrepancies, five achondroplasias, four deformed feet, five joint contractures, one rotational deformity of tibia, and in three the apparatus was used as an external fixator after corrective osteotomy. Lengthening was accomplished in 15 of the 16 procedures (93%). Average increase in femur length was 10 cm (32%), in tibial length 7.5 cm (30%), in humerus 11 cm (40%). Bony union was achieved in two out of five pseudoarthroses. Four deformed feet were fully corrected. Joint contractures were corrected in four out of five. The complication rate is as high as in other methods but with the Ilizarov apparatus, longer segments of bone were lengthened and more complex deformities were treated. Complications lessened as experience was gained.
Achondroplasia↗
Treatment of complex limb deformities in children with the Ilizarov technique.
Twenty-nine children underwent 36 Ilizarov procedures for a variety of limb deformities. We present the results in 11 patients, six with leg length discrepancies and five with achondroplasia, who underwent lengthening procedures using the Ilizarov method. Lengthening was accomplished in 15 of the 16 procedures (93%). Average increase in femur length was 10 cm (32%), in tibial length 7.5 cm (30%), in humerus length 11 cm (40%). Eleven complications occurred. The most common were pin tract infections (4), joint contractures (2), transient nerve injury (4), premature consolidation (5), and three fractures of the regenerated bone. The complication rate was as high as in other methods, but with the Ilizarov apparatus longer segments of bone were lengthened and more complex deformities were treated. The number of complications were lessened as experience was gained.
Achondroplasia↗
Ilizarov bone transport in large bone loss and in severe osteomyelitis.
Eleven patients, 21-53 years of age, were treated for large tibial (9), femoral (1), or humeral (1) bone loss (4-16 cm) by the Ilizarov technique of external or internal bone transport. Bone defects were closed from within. Bone grafts were not used; instead, a free bone fragment was moved gradually internally by distraction to fill the defect. In cases of severe osteomyelitis, a large fragment (up to 16 cm) of affected bone was resected and the defect was filled by the same technique. Seven patients had external bone transport, three patients had internal bone transport, and one patient had combined external-internal bone transport. The duration of treatment was 5-28 months (mean, 12 months). Excellent results were achieved in eight patients, good results in two patients, and a fair result in one patient. Complications included two fractures of regenerated bone as a result of a second trauma, one 3-cm shortness of a limb, one development of foot equinus, and one incidence of transient peroneal nerve palsy.
Adult↗
Gavriel A. Ilizarov: "The magician from Kurgan".
The following biographical article is based on the author's knowledge of Dr. Ilizarov, the 1987 Sir Robert Jones Lecturer for the Hospital for Joint Diseases Orthopaedic Institute. Some of the material included was originally published in the author's book, Russian Doctor, published by St. Martin's/Marek Press in New York in 1984.
Armenia↗
The Ilizarov technique.
The Ilizarov method for limb lengthening and reshaping is based on sound clinical investigation and animal laboratory studies. Although new to this country, it has been used successfully in the Soviet Union for 35 years. As with all new procedures, one must learn the technique and become familiar with the apparatus before attempting to perform the surgery. Three case histories are presented which were among the first in the United States to be treated by the application of the Ilizarov technique and external fixator.
Adult↗