Contribution of G.A. Ilizarov to bone reconstruction: historical achievements and state of the art

Губин, А.В.; Borzunov, D.Yu.; Марченкова, Л. О.; Malkova, Tatiana A; Смирнова, И. Л.

doi:10.1007/s11751-016-0261-7

Cited by 69 publications

(49 citation statements)

References 49 publications

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“…Ilizarov started his work in 1951 by treating a patient with a bone defect using a circular frame and transfixation tensioned wires. Then he discovered the biological law of tension stress or distraction histeogenesis and applied this principle to treat a wide variety of conditions such as nonunion, osteomyelitis, dwarfism, congenital deformities, some bone tumours, bone defects, fractures and bone shortening [7]. Recently, hexapodal computer assisted circular frames such as the Taylor Spatial Frame have gained in popularity.…”

Section: Introduction and Historymentioning

confidence: 99%

Limb lengthening history, evolution, complications and current concepts

Hosny

2020

J Orthop Traumatol

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Limb lengthening continues to be a real challenge to both the patient and the orthopaedic surgeon. Although it is not a difficult operative problem, there is a long and exhausting postoperative commitment which can jeopardize early good results. I aim to review the history, evolution, biology, complications and current concepts of limb lengthening. Ilizarov's innovative procedure using distraction histeogenesis is the mainstay of all newly developing methods of treatment. The method of fixation is evolving rapidly from unilateral external fixator to ring fixator, computer assisted and finally lengthening intramedullary nails. The newly manufactured nails avoid many of the drawbacks of external fixation but they have their own complications. In general, the indications for limb lengthening are controversial. The indications have been extended from lower limb length inequality to upper extremity lengthening, including humeral, forearm and phalangeal lengthening. A wide range in frequency of complications is recorded in the English literature, which may reach up to 100% of cases treated. With developing experience, cosmetic lengthening has become possible using external or internal lengthening devices with an acceptable rate of problems. Level of evidence: V.

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Section: Introduction and Historymentioning

confidence: 99%

Limb lengthening history, evolution, complications and current concepts

Hosny

2020

J Orthop Traumatol

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“…At present, the demand for the Ilizarov external fixation apparatus and its components for implementation of the technologies of transosseous osteosynthesis for treatment of patients with injuries and orthopedic pathology has been growing [23,24]. Therefore, the goal of our study was to objectify clinical and management risks of using the Ilizarov apparatus.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of clinical efficacy and safety of the Ilizarov apparatus for external fixation (literature review)

Soldatov¹,

Stogov²,

Овчинников³

et al. 2019

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Purpose A retrospective analysis of clinical efficacy and safety of using the external fixation apparatus of G.A. Ilizarov's design. Materials and methods Analysis and evaluation of clinical data was performed using 107 literary sources. 4.200 clinical cases were studied to evaluate effectiveness, and 6.274 cases to assess safety. Results The analysis revealed a high clinical efficacy of using the Ilizarov apparatus for external fixation (various assemblies) in solving a wide range of practical problems in the field of traumatology and orthopedics. According to the results of the study, its high clinical treatment effectiveness was confirmed both on the use of the method in general (about 95 % of positive outcomes), and in specific nosological groups of patients (not lower than 90 % of positive outcomes). After having assessed the available data on the safety in the application of the Ilizarov apparatus for external fixation (various assemblies), we can conclude that the rates of adverse events, recorded in the literature analyzed, can be considered acceptable. Among all those events, the events classified as adverse effects of the product amounted to 17.03 % (5 ÷ 95 % CI: 16.11 ÷ 17.97 %).

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“…Aunque existen reportes de casos a partir del año 1905, 1 no fue si no hasta fines de la década de los 50s, que alcanzó su apogeo, gracias a los trabajos de Ilizarov, en Kurgan, ex URSS. 2 Utilizando componentes simples, Ilizarov creó un aparato que revolucionó la cirugía ortopédica para siempre: el fijador externo circular. Su versatilidad, ha permitido desde entonces corregir deformidades que parecían imposibles, curar infecciones inveteradas y alargar segmentos óseos en las más diversas condiciones: congénitas, post traumática, e incluso cosméticas.…”

Section: Introductionunclassified

Alargamiento Oseo Con Clavo Intramedular Magnetico Experiencia Preliminar y Lecciones Aprendidas

Baar

2020

Revista Chilena de Ortopedia y Traumatología

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Resumen Objetivos Mostrar resultados, complicaciones y lecciones aprendidas utilizando el clavo intramedular magnético (IML, Intramedullary Magnetic Lengthener) en un grupo de pacientes sometidos a alargamiento óseo. Pacientes y Métodos Entre enero 2017 y diciembre 2019, 9 pacientes (15 segmentos), edad entre 15 y 39 años, fueron sometidos a alargamiento óseo con IML: 5 pacientes tuvieron alargamiento femoral bilateral por talla baja, 1 paciente se sometió a alargamiento de Piernas bilateral por Tibia vara y acortamiento mesomélico y 3 recibieron alargamientos femorales unilaterales por discrepancia de longitud de extremidades. Todos fueron operados por el mismo cirujano, con técnica standard. Se indicó kinesiterapia al menos 5 veces por semana durante la fase de distracción. Resultados En todos se logró el objetivo de alargamiento planteado. No hubo complicaciones intra ni postoperatorias graves (TVP, TEP, Embolia grasa), ni fallas del sistema distractor. Un paciente desarrolló contracturas articulares de ambas rodillas por no adhesión a Kinesiterapia. Ninguno requirió aporte de injerto óseo, sin embargo en 2 pacientes de alargamiento de Fémur bilateral, se presentó deformidad en varo, que hizo necesario recambio a clavo convencional y un paciente desarrolló una parálisis transitoria del Nervio Peroneo común. Conclusiones El advenimiento de los IML significó un gran avance en el campo de la osteogènesis por distracción, sin embargo, aún se trata de un procedimiento complejo, que debe ser planificado cuidadosamente para minimizar los riesgos y complicaciones. Una selección meticulosa del paciente y la evaluación física y psicológica previa, son fundamentales para el éxito del procedimiento. Los casos bilaterales requieren de un seguimiento cercano, por el riesgo de falla del implante.

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Contribution of G.A. Ilizarov to bone reconstruction: historical achievements and state of the art

Cited by 69 publications

References 49 publications

Limb lengthening history, evolution, complications and current concepts

Limb lengthening history, evolution, complications and current concepts

Evaluation of clinical efficacy and safety of the Ilizarov apparatus for external fixation (literature review)

Alargamiento Oseo Con Clavo Intramedular Magnetico Experiencia Preliminar y Lecciones Aprendidas

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