Bone Treatments

Illizarov Fixator

The Illizarov apparatus, also known as the Illizarov method, is a type of external fixator used in orthopedic surgery to lengthen or reshape limb bones and to treat complex fractures and non-unions. It was invented by the Soviet orthopedic surgeon Gavriil Illizarov in the 1950s. This technique involves the use of a circular external frame that surrounds the limb and is attached to the bone via wires and pins. The apparatus can be adjusted to gradually move the bone segments apart, allowing new bone tissue to form in the gap (distraction osteogenesis).

Indications (Causes) for Using the Illizarov Apparatus

The Illizarov method is used for a variety of orthopedic conditions, including:

  • Bone Lengthening: To correct discrepancies in limb length.
  • Complex Fractures: Especially those that are open or have multiple fragments.
  • Non-union of Fractures: Where the bone fails to heal properly.
  • Bone Deformities: To correct angular deformities or rotational issues.
  • Bone Infections: Where other treatments have failed, the Illizarov method can help manage osteomyelitis.
  • Congenital Limb Deficiencies: For correcting congenital deformities and deficiencies in limb length.

Symptoms Indicating Need for Illizarov Method

Patients who might benefit from the Illizarov method typically present with the following symptoms or conditions:

  • Limb Length Discrepancy: Noticeable difference in the length of limbs.
  • Deformity: Visible angular or rotational deformity of the bone.
  • Non-healing Fractures: Persistent pain, instability, and lack of bone healing several months post-fracture.
  • Complex Fractures: Severe pain, swelling, and inability to bear weight or use the limb normally.
  • Chronic Bone Infections: Symptoms such as pain, redness, swelling, and possible drainage of pus.

Benefits

  • Ability to correct complex deformities.
  • Stimulates natural bone growth.
  • Can be adjusted without additional surgery.

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Bone Treatments