Title: Evaluation Study on Llizarov Principles of Deformity Correction
Author: Dr R.A.M. Kausarul Islam
DOI: https://dx.doi.org/10.18535/jmscr/v8i4.01
Abstract
Limb-lengthening surgery can be outlined back to the 19th Century. Since that time, the orthopedic community has made remarkable progress in performing successful lengthening procedures. Dr. Gavril Ilizarov is one of the leading physicians among the important contributors to the field of lengthening surgery. Because of advancements over the past century, limb lengthening has become a viable method of treating severe bony deformities and defects. The aim of this article is to reviews the principles of deformity correction in limb lengthening surgery for distraction osteosynthesis and its evaluation including a thorough discussion of indications, instrumentation, and surgical technique.
Keyword: Limb- lengthening, Orthopedics community, deformity correction, osteosynthesis.
References
- Aronson J, Harrison BH, Stewart CL, Harp JH Jr. The histology of distraction osteogenesis using different external fixators. Clin Orthop Relat Res. 1989 Apr; (241):106-16.
- Garcia FL, Picado CH, Garcia SB. Histology of the regenerate and docking site in bone transport. Arch Orthop Trauma Surg. 2009 Apr; 129(4):549-58.
- Kojimoto H, Yasui N, Goto T, et al. Bone lengthening in rabbits by callus distraction. The role of periosteum and endosteum. J Bone Joint Surg Br. 1988 Aug; 70(4):543-9.
- Kusec V, Jelic M, Borovecki F, et al. Distraction osteogenesis by Ilizarov and unilateral external fixators in a canine model. Int Orthop. 2003; 27(1):47-52.
- Li G, Simpson AH, Triffitt JT. The role of chondrocytes in intramembranous and endochondral ossification during distraction osteogenesis in the rabbit. Calcif Tissue Int. 1999 Apr; 64(4):310-7.
- Ilizarov GA. Clinical application of the tension-stress effect for limb lengthening. Clin Orthop Relat Res. 1990 Jan ;( 250):8-26.
- Murray JH, Fitch RD. Distraction Histiogenesis: Principles and Indications. J Am Acad Orthop Surg. 1996 Nov; 4(6): 31727.
- Jazrawi LM, Majeska RJ, Klein ML, et al. Bone and cartilage formation in an experimental model of distraction osteogenesis. J Orthop Trauma. 1998 Feb; 12(2):111-6.
- Aronson J, Harrison B, Boyd CM, et al. Mechanical induction of osteogenesis: the importance of pin rigidity. J Pediatr Orthop. 1988 Jul-Aug;8(4):396-401.
- Aronson J, Harrison B, Boyd CM, et al. Mechanical induction of Osteogenesis. Preliminary studies. Ann Clin Lab Sci. 1988 May-Jun; 18(3):195-203.
- Aronson J, Johnson E, Harp JH. Local bone transportation for treatment of intercalary defects by the Ilizarov technique. Biomechanical and clinical considerations. Clin Orthop Relat Res. 1989Jun ;(243):71-9.
- Ilizarov GA, Ledyasev VI, Shitin VP. Experimental studies of bone lengthening. Eksp Khir Anesteziol 1969; 14: 3.
- Ilizarov GA. The tension–stress effect on the genesis and growth of tissues: Part I. The influence of stability of fixation and sort tissue preservation. Clin Orthop 1989; 238: 249–81.
- Ilizarov GA. The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction. Clin Orthop 1989; 239: 263–85.
- Ilizarov GA. Clinical application of the tension-stress effect for limb lengthening. ClinOrthop 1990; 250: 8–26.
- Codivilla A. On the means of lengthening in the lower limbs, the muscles and tissues which are shortened through deformity. Am J OrthopSurg 1905; 2: 353–69.
- Wagner H. Operative lengthening of the femur. ClinOrthop 1978; 136: 125–42.
- Vauhkonen M, Peltonen J, Karaharju E, Aalto K, Alitalo I. Collagen synthesis and mineralization in the early phase of distraction bone healing. Bone Miner 1990; 10: 171–81.
- Kaljumae U, Martson A, Haviko T, Hanninen O. The effect of lengthening of the femur on the extensors of the knee. An electromyographic study. J Bone Joint Surg Am 1995; 77: 247–50.
- Paley D. Problems, obstacles and complications of limb lengthening by the Ilizarov technique. Clin Orthop 1990; 250: 81–104.
- Lee DY, Choi IH, Chung CY Chung PH, Chi JG, Suh YL. Effect of tibial lengthening on the gastrocnemius muscle. A histopathologic and morphometric study in rabbits. Acta Orthop Scand 1993; 64: 688–92.
- Ippolito E, Peretti G, Bellocci M, Farsetti P, Tudisco C, Caterini R et al. Histology and ultrastructure of arteries, veins and peripheral nerves during limb lengthening. Clin Orthop 1994; 308: 54–62.
- Galardi G, Comi G, Lozza L, Marchettini P, Novarina M, Facchini R et al. Peripheral nerve damage during limb lengthening. Neurophysiology in five cases of bilateral tibial lengthening. J Bone Joint Surg Br 1990; 72: 121–4.
- Lee DY, Chung CY, Choi IH. Longitudinal growth of the rabbit tibia after callotasis. J Bone Joint Surg Br 1993; 75: 898–903.
- Cross AR, Lewis DD, Murphy ST. Effects of ring diameter and wire tension on the axial biomechanics of four ring circular external fixator constructs. Am J Vet Res 2001; 62: 1025–30.
- Gasser B, Boman B, Wyder D. Stiffness characteristics of the circular Ilizarov device asopposed to conventional external fixators. J Biomech Eng 1990; 112: 15–21.
- Rozbruch SR, Ilizarov S. Limb Lengthening and Reconstruction Surgery. New York: Informa Healthcare, 2007
- Podolsky A, Chao EY. Mechanical performance of Ilizarov circular frame external fixators in comparison with other external fixators. Clin Orthop 1993; 293: 61–70.
- Ilizarov GA, Emilyanova HS, Lebedev BE. Some experimental studies. Mechanical characteristics of Kirschner wires. In: Perosseus compression and distraction osteosynthesis. Traumatology and Orthopaedics. Kurgan, 1972l; 34–47.
- Calhoun JH, Li F, Bauford WL. Rigidity of half pins for the Ilizarov external fixator. Bull Hosp J Dis 1992; 52: 21–6.
- Piza G, Caja VL, Gonzalez-Viejo MA. Hydroxyapatite-coated external-fixation pins. The effect on pin loosening and pin-tract infection in lengthening for short stature. J Bone Joint Surg Br 2004; 86: 892–7.
- Pommer A, Muhr G, David A. Hydroxyapatite-coated Schantz pins in external fixators for distraction osteogenesis: a randomised, controlled trial. J Bone Joint Surg Am 2002; 84: 1162–6.
- Paley D. Principles of Deformity Correction. Berlin: Springer, 2001.
- Frierson M, Ibrahim K, Boles M, Bote H, Ganey T. Distraction osteogenesis. A comparison of corticotomy techniques. Clin Orthop 1994; 301: 19–24.
- McKee MD, Wild LM, Schemitsch EH, Waddell JP. The use of antibiotic impregnated, osteoconductive, bioabsorbable bone substitute in the treatment of infected long bone defects: Early results of a prospective trial. J Orthop Trauma 2002; 16: 622–7.
- Aronson J. Experimental and clinical experience with distraction osteogenesis. Cleft Palate Craniofac J 1994; 31: 473–81.
- Coglianese DB, Herzenberg JE, Goulet JA. Physical therapy management of patients undergoing limb lengthening by distraction osteogenesis. J Orthop Sports Phys Ther 1993; 17: 124–32.
- Velazquez RJ, Bell DF, Armstrong PF, Babyn P, Tibshirani R. Complications of use of the Ilizarov technique in the correction of limb deformities in children. J Bone Joint Surg Am 1993; 75: 1148–56.
