Wheeless' Textbook of Orthopaedics
C.R. Wheeless MD
Wheeless' Textbook of Orthopaedics
Forearm by the Ilizarov Technique.
Villa-A. Paley-D. Catagni-M-A. Bell-D. Cattaneo-R.
Clinical Orthopaedics and Related Research. 1990 Jan. 250. pp 125-137.
The Ilizarov technique was used for lengthening 13 forearms in 12
patients. The different types of treatment were: lengthening of the
radius alone, lengthening of the ulna alone with or without radial
head relocation, lengthening of one-bone forearms, lengthening of the
radius and ulna to the same extent, and differential lengthening of
the radius and ulna. The lengthenings ranged from 2 cm to 13 cm (10
per cent-143 per cent). Bone consolidation was achieved in three to
19 months without the need for bone grafting. Eleven of 12 patients
were functionally and cosmetically improved. In nine patients, the
cosmetic improvement made a significant psychologic difference to the
patient. There were 11 complications, including three temporary deep
radial nerve palsies, one sympathetic dystrophy, one malunion, one
delayed malunion, two refractures, and three mild loss of motion.
All of these dysfunctions were temporary, but mild stiffness
persisted in three patients. The goals of treatment were achieved in
all patients.
Forearm by the Ilizarov Technique.
Villa-A. Paley-D. Catagni-M-A. Bell-D. Cattaneo-R.
Clinical Orthopaedics and Related Research. 1990 Jan. 250. pp 125-137.
The Ilizarov technique was used for lengthening 13 forearms in 12
patients. The different types of treatment were: lengthening of the
radius alone, lengthening of the ulna alone with or without radial
head relocation, lengthening of one-bone forearms, lengthening of the
radius and ulna to the same extent, and differential lengthening of
the radius and ulna. The lengthenings ranged from 2 cm to 13 cm (10
per cent-143 per cent). Bone consolidation was achieved in three to
19 months without the need for bone grafting. Eleven of 12 patients
were functionally and cosmetically improved. In nine patients, the
cosmetic improvement made a significant psychologic difference to the
patient. There were 11 complications, including three temporary deep
radial nerve palsies, one sympathetic dystrophy, one malunion, one
delayed malunion, two refractures, and three mild loss of motion.
All of these dysfunctions were temporary, but mild stiffness
persisted in three patients. The goals of treatment were achieved in
all patients.