Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 5 , ISSUE 1 ( April, 2010 ) > List of Articles

Original Article

Bone transport using the Ilizarov method: a review of complications in 100 consecutive cases

Claudio Iacobellis, Antonio Berizzi, Roberto Aldegheri

Keywords : Bone transport, External fixator, Distraction osteogenesis

Citation Information : Iacobellis C, Berizzi A, Aldegheri R. Bone transport using the Ilizarov method: a review of complications in 100 consecutive cases. 2010; 5 (1):17-22.

DOI: 10.1007/s11751-010-0085-9

License: CC BY-NC-SA 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

We present the results of treatment of 100 patients (72 men, 28 women) by the Ilizarov method of bone transport using circular (55) and monolateral external fixators (45). A total of 26 femurs (18 monolateral, 8 circular) and 74 tibias (49 circular, 25 monolateral) was examined. There were no significant differences between the circular fixator and the monolateral fixator with regard to treatment time, complications in the treated bone segments or compliance with the presence of the fixator. The main complications (pseudoarthrosis at bone contact points after transport, insufficient ossification of lengthened bone, knee stiffness) were resolved with further treatment for all patients with the exception of one case which continued with repeated infections. The circular fixator allows for deformity corrections during bone transport but the monolateral fixator is tolerated better by patients, especially in those with femoral defects.


PDF Share
  1. Aldegheri R, Berizzi A (2003) Trasporto osseo con fissatore monolaterale. Ortopedia e Traumatol s.e.r.t.o.t. 45:71-74
  2. Aldegheri R, Iacobellis C, Berizzi A (2005) Trasporto osseo all'arto inferiore. Giorn Ital Ortop Traum 31(Suppl. 2):473-476
  3. Aronson J (1992) Cavitary osteomyelitis treated by fragmentary cortical bone transportation. Clin Orthop Relat Res 280:153-159
  4. Cattaneo R, Catagni M, Johnson EE (1992) EE The treatment of infected nonunions and segmental defects of the tibia by the method of Ilizarov. Clin Orthop Relat Res 280:143-152
  5. De Bastiani G, Aldegheri R, Renzi-Brivio L (1979) Il fissatore esterno assiale. Chir Organi Mov 65:287-293
  6. Dendrinos GK, Kontos S, Lyritsis E (1995) Use of the Ilizarov technique for treatment of non-union of the tibia associated with infection. J Bone Joint Surg Am 77:835-846
  7. Green SA, Jackson JM, Wall DM, Marinow H, Ishkanian J (1992) Management of segmental defects by the Ilizarov intercalary bone transport method. Clin Orthop Relat Res 280:136-142
  8. Iacobellis C (2003) Trasporti ossei con fissatore circolare. Ortopedia e Traumatol s.e.r.t.o.t. 45:75-80
  9. Iacobellis C (1998) Le metodiche di Papineau e di Ilizarov a confronto nel trattamento delle osteiti posttraumatiche. Giorn Ital Ortop Traum 24:177-187
  10. Mora R, Bertani B, Pedrotti L, Tuvo L, Gili S (2006) Compressiondistraction methods in nonunions of the long bones. In: Mora R (ed) Diagnosis and treatment with compression-distraction techniques. Springer, Milano. pp 89-117. ISBN: 978-88-470-0408-5
  11. Paley D, Tetsworth K (1991) Percutaneous osteotomies. Osteotome and Gigli saw techniques. Orthop Clin North Am 22:613-624
  12. Aldegheri R, Volino C, Zambito A, Tessari G, Trivella G (1993) Use of ultrasound to monitor limb lengthening by callotasis. J Pediatr Orthop 21:22-27
  13. Iacobellis C, Bulzacchi A, Rioda A (2002) The ultrasound scan in monitoring regenerated bone. J Orthopaed Traumatol 3:41-48
  14. Paley D (1990) Problems, obstacles and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat 250:81- 104
  15. Aldegheri R, Renzi Brivio L, Agostini S (1989) The Callotasis method of limb lengthening. Clin Orthop Relat Res 241:135-137
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.