[Bone lengthening and soft tissue correction using the Ilizarov technique].
From March 1989 to September 1995 at the Department of Orthopedic Surgery at the Vienna General Hospital 31 limb-lengthenings or corrections of the soft-tissue (contractions of joints, clubfeet) using the Ilizarov method were performed. 15 patients have already finished growth. All complications were analysed according to Paley's classification. The tibia-group (n=13) reached an average lengthening of 3.5 cm (2-5.7 cm) [16% (6-35%) of the initial length] with a healing index of 1.7 mo/cm and a complication rate of 42%. In the femur-group (n=8) a mean lengthening of 5.4 cm (2.5-9.4 cm) [21% (7-34%) of the initial length] could be achieved with a healing rate of 1.3 mo/cm and a complication rate of 40%. The ulna-group (n=3) reached an average lengthening of 2.6 cm (2.2-3.4 cm) [21% (17-24%) or the initial length] with a healing index of 1.4 mo/cm and a complication rate of 17%. The knee contracture group (n=2) was free of complications. The Ilizarov technique has been performed successfully in a high percentage although extensive elongations reported by Ilizarov could not be achieved neither by us nor by other authors. The above-mentioned method has been proved to be efficient and successful to correct deformities of the soft-tissue.
Schiessel
A
A
Universitätsklinik für Orthopädie, Wien, Osterreich.
Windhager
R
R
Fellinger
E
E
Kotz
R
R
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003025:Clubfoot / Q000209:etiology / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D005269:Femur / Q000601:surgery; D050723:Fractures, Bone / Q000209:etiology / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique; D007223:Infant; D007719:Knee Joint / Q000601:surgery; D007870:Leg Length Inequality / Q000209:etiology / Q000601:surgery*; D008297:Male; D013977:Tibia / Q000601:surgery; D014457:Ulna / Q000601:surgery
Knochenverlängerungen und Weichteilkorrekturen mittels der Ilizarov-Technik.