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Wheeless' Textbook of Orthopaedics

Wheeless' Textbook of Orthopaedics

C.R. Wheeless MD

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Wheeless' Textbook of Orthopaedics


Complications of use of the Ilizarov technique in the correction of limb

deformities in children.

Velazquez RJ. Bell DF. Armstrong PF. Babyn P. Tibshirani R.

Journal of Bone & Joint Surgery - American 75(8):1148-56, 1993 Aug.

We reviewed the records of the first forty patients who had been managed

at our institution with the Ilizarov technique for the correction of limb

deformities, including limb-length inequality, to delineate the

complications of this method of treatment. The duration of follow-up

ranged from two and one-half to four years. A complication was defined as

any untoward occurrence to a patient either during the course of treatment

or after removal of the fixator. A major complication was considered one

that necessitated an additional operative procedure; caused lasting

sequelae, such as malunion, deformation of new bone, joint contracture or

stiffness, or nerve palsy; or prolonged the treatment. A minor

complication was regarded as one that responded to non-operative treatment

and did not cause lasting sequelae, such as transient decreased motion of

the joint, paresthesia, or pin-track infection. There were eighty-eight

complications--thirty-eight, major, and the remaining fifty, minor--in the

sixty-one segments of the limb that were treated; this represented an

average of almost one and one-half complications for each segment. Twenty

-nine unplanned operative procedures were performed either during

treatment with the Ilizarov technique or after removal of the fixator. As

anticipated, the prevalence of major complications was highest in the

patients who had had more complex and prolonged treatment. Such

complications were encountered less often as the surgeons gained

experience with the procedure, but the rate of minor complications

remained relatively constant, despite the increased experience.(ABSTRACT



Complications of use of the Ilizarov technique in the correction of limb

deformities in children.

Velazquez RJ. Bell DF. Armstrong PF. Babyn P. Tibshirani R.

Journal of Bone & Joint Surgery - American 75(8):1148-56, 1993 Aug.

We reviewed the records of the first forty patients who had been managed

at our institution with the Ilizarov technique for the correction of limb

deformities, including limb-length inequality, to delineate the

complications of this method of treatment. The duration of follow-up

ranged from two and one-half to four years. A complication was defined as

any untoward occurrence to a patient either during the course of treatment

or after removal of the fixator. A major complication was considered one

that necessitated an additional operative procedure; caused lasting

sequelae, such as malunion, deformation of new bone, joint contracture or

stiffness, or nerve palsy; or prolonged the treatment. A minor

complication was regarded as one that responded to non-operative treatment

and did not cause lasting sequelae, such as transient decreased motion of

the joint, paresthesia, or pin-track infection. There were eighty-eight

complications--thirty-eight, major, and the remaining fifty, minor--in the

sixty-one segments of the limb that were treated; this represented an

average of almost one and one-half complications for each segment. Twenty

-nine unplanned operative procedures were performed either during

treatment with the Ilizarov technique or after removal of the fixator. As

anticipated, the prevalence of major complications was highest in the

patients who had had more complex and prolonged treatment. Such

complications were encountered less often as the surgeons gained

experience with the procedure, but the rate of minor complications

remained relatively constant, despite the increased experience.(ABSTRACT

 
 
 
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