BACKGROUND Treatment of leg length inequality via lengthening of the shorter extremity is an infrequent orthopedic procedure due to the requirement of special distraction devices and possible serious complications. Essential qualitative changes in operative technique development are associated with the name of G. A. Ilizarov, who paved the way for the autoregenerate gradual distraction method i...

Treatment of chronic osteomyelitis of the long bones is challenging due to infection and bone resection. The aim of this case presentation is to report an alternative method for chronic osteomyelitis of the femur. We aimed to provide acute and rapid shortening at the resected site, and lengthening from the metaphyseal bone of a 22-year-old male patient who applied with pain and discharge in the...

We compared delayed distraction (DD) with immediate distraction (ID) in bone-lengthening. Open femoral diaphyseal osteotomy was performed on 24 three-month-old lambs, and external distractor fixators were applied. In the ID group (n 12), distraction commenced on the first postoperative day; in the DD group (n 12), distraction was delayed until the tenth day after surgery. In all the animals, th...

This is an audit of complications resulting from correction of complex lower limb deformities by the Ilizarov technique. 33 patients (40 bone segments) were reviewed and divided into 4 groups according to the type of surgery carried out: limb lengthening and/or correction of deformity, bone or joint stabilisation, treatment of nonunion or bone defect, angular and/ or rotation correction. Most m...

Introduction We have developed a novel cell therapy using culture expanded bone marrow cells (BMC) and platelet rich plasma (PRP) in lower limb lengthenings and demonstrated that transplantation of BMC and PRP into the distracted callus shortened the treatment periods and reduced associated complications by accelerating new bone regenerates. Favorable clinical outcome was observed especially in...

Calculation of the expected limb length discrepancy at maturity plays an important part in the timing of operations designed to equalise length. Present methods assume similar pre-operative and postoperative rates of bone growth in limbs undergoing diaphysea! lengthening procedures. Moseley (1977) conceived a straight line graph to predict the optimal timing ofsurgery to lengthen the shorter li...

Purpose The evaluation of a construction that allows the exchange of circular and unilateral external fixators on the same fixation pins to the bone in outpatient circumstances during bone lengthening and alignment procedures. Methods Nine children were treated with this concept. After bone lengthening and alignment, the circular fixators were exchanged for unilateral fixators in the outpatient...