The ilizarov frame
was retained until final union was achieved.
The final paper, 'Outcomes of simultaneous Ilizarov frame
reconstruction and free muscle flaps in the management of complex limb infection' by M Mifsud, J Ferguson, D Stubbs, A Ramsden and MA McNally, showed that in a series of 56 patients (34 osteomyelitis and 22 infected non-unions) treated by Ilizarov reconstruction (a type of external fixation), muscle flaps and CERAMENT G, at a mean follow-up of 22 months, 97.7% had achieved bony union.
Several methods have been suggested for patients with a massive bone defect, including an allograft-prosthesis composite, autograft from the iliac crest, arthrodesis, resection arthroplasty, and Ilizarov frame
;[sup],,,, however, none of these methods is completely satisfactory.
Despite that it was designed as a multipurpose fixator, the mechanical tests during pediatric tibial lengthening showed that the Ilizarov frame
possessed a more symmetrical distribution of loading while the TSF had the tendency to cause anterior angulation with increasing load, which required correction with the same frame.
This patient had segmental fracture of same tibia fixed in the same ilizarov frame
and fracture of ipsilateral femur shaft fixed with interlocking nail.
Critical appraisal of the biomechanics of the working space of the TSF compared to the Ilizarov frame
concluded that paediatric application of the TSF was very limited due to constructional design .
In infected cases open debridement was done to totally remove the necrotic and infected segment and then proceeded with bifocal osteosynthesis to eliminate the bone gap using the Ilizarov frame
. Thin 5 mm osteotome was used for the metaphyseal corticortomies as described by Ilizarov.
Shaun, who works as a forklift truck driver, is now recovering in the James Cook and has one leg in plaster while the other leg has a metal Ilizarov frame
attached to it.
`I did it to keep myself occupied and for the benefit of others in the same situation,' says Mike Pritchard of his on line diary tracking his recovery from a horrific motor bike crash Picture: RICHARD WILLIAMS; The Ilizarov frame
that saved Mike Pritchard's leg; Picture: RICHARD WILLIAMS
Last month, surgeons at the Royal Hospital for Sick Children in Yorkhill, Glasgow, broke her thigh bone and attached circular "scaffolding", known as an Ilizarov frame
This time surgeon Robert Simonis suggested a new treatment - a titanium Ilizarov frame
to help lengthen and strengthen her leg, as well as a graft to regrow the damaged bone.
All of our patients were able to stand and weight bear with partial limb loading immediately after the circular Ilizarov frame