Myotopography in Tibial Lengthening

Limb lengthening by Ilizarov lengthens not just the long bone, but also the soft tissues too. Damage of the musclesduring corticotomy and their stretching during distraction play a crucial role in occurrence of complications and finallimb function. We present here a systematic codified nomenclature system of each muscle summarising all theinfluence that corticotomy and distraction have the particular muscle and demonstrate the same in the setting of tibiallengthening. This scheme helps the surgeon easily recollect what all muscles are involved in what all ways in eachlevel of corticotomy thus enabling him to watch out for complications thereof and monitor and accordingly modify thelimb lengthening process.