title: Ilizarov non-free bone plasty for extensive tibial defects.
abstract: OBJECTIVE
  The purpose of this study was to present a retrospective comparative overview of the Ilizarov non-free bone plasty techniques of one-stage multilevel fragment lengthening and gradual tibilisation of the fibula used for extensive tibial defect management.
  
  
  METHODS
  Extensive tibial defects in 83 patients were managed either by multilevel fragment lengthening (group I, n = 41, mean defect size 13.1 ± 0.9 cm) or gradual tibilisation of the fibula (group II, n = 42, mean defect size 12.5 ± 1.2 cm) using the Ilizarov apparatus. The initial findings, treatment protocols and outcomes of those patients treated within the period 1972-2011 were studied retrospectively by medical records and radiographs, and statistically assessed with Microsoft Excel and Attestat software.
  
  
  RESULTS
  Group I had multilevel fragment lengthening over one stage that averaged 288.0 ± 14.4 days. The mean total period of gradual tibilisation of the fibula in group II was 316.0 ± 29.7 days. The patient's age in the latter group had an effect on the completeness of leg-length equalisation.
  
  
  CONCLUSIONS
  The techniques can be used to manage extensive tibial defects as all the defects bridged, leg-length discrepancy and deformity were corrected and patients were able to load their limbs.
authors: Orthopaedic Department 16, Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, 6, M. Ulianova Street, Kurgan, 640014, Russian Federation. borzunov@bk.ru
authors: Dmitry Y
authors: DY
authors: Borzunov
authors: Alexander V
authors: AV
authors: Chevardin
mesh_terms: D000293:Adolescent; D000328:Adult; D001852:Bone Lengthening / Q000379:methods*; D002648:Child; D016267:External Fixators; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D018889:Ilizarov Technique; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000601:surgery*; D023821:Limb Salvage; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D012984:Software; D013977:Tibia / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult
references: J Bone Joint Surg Br. 1999 Nov;81(6):1035-40
references: 10615982
references: Chirurgie. 1991;117(5-6):469-76; discussion 477
references: 1817847
references: Clin Orthop Relat Res. 2006 Jul;448:208-16
references: 16826118
references: Clin Orthop Relat Res. 1992 Jul;(280):143-52
references: 1611734
references: Clin Orthop Relat Res. 1994 Apr;(301):111-7
references: 8156661
references: Injury. 2003 Oct;34(10):770-5
references: 14519358
references: Int Orthop. 2002;26(6):377-80
references: 12466873
references: West Indian Med J. 2002 Dec;51(4):263-7
references: 12632648
references: Orthopade. 2001 Sep;30(9):658-65
references: 11603199
references: Int Orthop. 2012 Aug;36(8):1695-700
references: 22581353
references: J Reconstr Microsurg. 2001 Jan;17(1):17-25
references: 11316280
references: Eur Cell Mater. 2008 May 02;15:100-14
references: 18454418
references: Clin Orthop Relat Res. 1994 Apr;(301):118-23
references: 8156662
references: J Bone Joint Surg Br. 2008 Dec;90(12):1627-30
references: 19043136
references: Int Orthop. 2012 Apr;36(4):817-25
references: 21505801
references: Microsurgery. 2008;28(5):339-46
references: 18537173
references: Rev Chir Orthop Reparatrice Appar Mot. 2007 Oct;93(6):555-63
references: 18065864
references: J Trauma. 1995 Aug;39(2):356-60
references: 7674407
references: HSS J. 2009 Feb;5(1):31-9
references: 19034585
references: Clin Orthop Relat Res. 1992 Jul;(280):136-42
references: 1611733
references: Plast Reconstr Surg. 2004 Nov;114(6):1457-66
references: 15509933