We have reviewed the results in 37 patients with unilateral congenital short femur (Pappas classes III to IX), treated by different lengthening procedures. The increase in the length of the femur varied from 15.6% to 142%, excellent or good results being obtained in 32 patients (86%). There was an average of 1.9 complications per case, most being seen earlier in the series when the Wagner techn...

INTRODUCTION High energy tibial plateau fractures along with calcaneal fractures individually produce several challenges for the orthopaedic surgeon. The principles of bony reconstruction include anatomic reduction and rigid internal fixation of intra-articular fractures and accurate restoration of the coronal, sagittal and transverse mechanical axes. Due to the tenuous nature of the soft tissu...

INTRODUCTION The treatment of tibia bone loss can be challenging. The surgical options for the treatment of bone loss include bone transport, vascularized fibula graft, and induced membrane. CASE REPORT We present a case of complex compound fracture of tibia with bone loss. Interestingly patient sustained this injury in spite of having intramedullary nail in tibia which was inserted to stabil...

A unique combination of external and internal fixation techniques, for a fibular lengthening procedure using the Ilizarov method is described. The technique is minimally invasive, allows precise deformity correction, enables early weight bearing, and minimizes the time that the patient wears the external fixator. Introduction Bone lengthening procedures have, over time, been approached in a var...

Background: Tibial pilon fractures are relatively uncommon injuries, representing only 1% of all the lower limb and 5% to 10% those tibia. Frequent comminution thin soft-tissue envelope in area make treatment these challenging. The tibial is characterised by a total absence muscle coverage marginal vascularity. Therefore, even moderate trauma often results extensive damage. Objective: aim this ...

Authors report the results they obtained when the Ilizarov circular external fixator was used for the treatment of post-traumatic nonunion of the tibia. A total of 20 patients were treated. Of these 12 had been submitted to treatment elsewhere and using other methods; 9 presented with septic nonunion; 10 revealed radiographic findings of atrophic nonunion, and 10 were hypertrophic. There was ax...

We reviewed 28 patients treated with partial fibulectomy combined with an Ilizarov compression frame for a non-infected tibial delayed union or non-union. Patient data, time to referral, type of fracture (open or closed), type of non-union (atrophic or hypertrophic) and period of treatment were recorded. Neither time to referral, type of fracture or type of non-union did adversely affect the du...

We have used the Ilizarov technique for the management of subarticular defects after the excision of giant-cell tumours in the proximal tibia in five patients. The defect was reconstructed with a segment of 5 to 6 cm obtained from the diaphysis of the affected tibia and by autogenous bone graft from the iliac crest. The newly developed defect in the diaphysis was reconstructed by distraction us...

The treatment of tibial plafond fractures requires careful management of the soft tissue envelope, reconstruction of the articular surface and stable fixation with minimal additional damage. Thirty cases of AO type 43 C tibial fractures were treated by transosseous osteosynthesis (Ilizarov technique). The external fixator constructs used were Ilizarov (Transosseous osteosynthesis: theoretical a...