As a fellowship trained Orthopedic surgeon, Dr Amey focuses on treating all Joint conditions – Injuries , Fractures, Replacement and Arthroscopy. He has been trained in one of the best institutes in India under pioneers of the field . He has performed numerous surgeries in Government hospital , Mumbai. He has special interest in Revision Hip replacements , Joint preservation surgeries and Sports Injuries.

OPD building, Vision Hospital, next to Max Superstore, Karaswada, Mapusa, Goa 403507

drsameer0610@gmail.com

+91 8882119651

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Ilizarov Surgery

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Dr. Sameer Mittal

MBBS, DNB
Orthopedics/Orthopedic Surgery, Diploma in Orthopaedics Joint Replacement Surgeon,Orthopedic surgeon
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Ilizarov Surgery

Ilizarov Surgery

Ilizarov surgery is an orthopedic procedure used to treat complex bone conditions, such as severe fractures, non-unions, limb length discrepancies, and deformities. It involves the use of the Ilizarov apparatus, an external fixator made up of rings and wires or pins that stabilize the affected limb. This device allows for gradual, precise adjustments to correct deformities and promote new bone growth through a process called distraction osteogenesis, where the bone is slowly pulled apart to stimulate new tissue formation. Ilizarov surgery is often used for patients with conditions that cannot be effectively treated with traditional methods, offering a versatile solution for complex orthopedic issues.

Symptoms:

Ilizarov surgery is often considered for patients with complex orthopedic conditions such as limb length discrepancies, severe fractures, non-unions (bones that fail to heal properly), and deformities (congenital or acquired). Symptoms necessitating this surgery include chronic pain, functional impairment, visible limb deformities, difficulty bearing weight, and significant differences in limb length, which can impact mobility and quality of life.

Causes:

The primary causes requiring Ilizarov surgery include severe bone fractures that do not heal with conventional methods, congenital deformities such as bow legs or clubfoot, post-traumatic deformities, bone infections (osteomyelitis), and conditions resulting in limb length discrepancies. Additionally, patients who have undergone tumor resections or suffer from bone diseases like rickets may benefit from this surgical approach to correct skeletal abnormalities.

Treatment:

Ilizarov surgery involves the use of the Ilizarov apparatus, an external fixator that stabilizes the affected limb through a series of rings and wires or pins that are surgically attached to the bone. This device allows for precise and gradual adjustments to correct deformities, align bones, and promote new bone growth through distraction osteogenesis, a process where the bone is slowly pulled apart to stimulate the formation of new bone tissue. The procedure is typically performed in stages, with the apparatus adjusted regularly to achieve the desired correction.

Rehabilitation:

Rehabilitation following Ilizarov surgery is critical for successful outcomes and includes a comprehensive physical therapy program. Initially, the focus is on pain management, maintaining joint mobility, and preventing stiffness. As the patient progresses, weight-bearing exercises and strength training are introduced to enhance bone healing and improve muscle function. Regular follow-up visits are necessary to monitor the healing process, make necessary adjustments to the apparatus, and ensure proper alignment. The rehabilitation process can be lengthy, often spanning several months to a year, depending on the extent of the correction needed and the individual patient’s response to treatment. Adherence to the rehabilitation protocol is essential to maximize functional recovery and achieve optimal limb alignment and length.

ShapeF&Q's

Ilizarov Surgery

Ilizarov surgery is an orthopedic procedure that uses an external fixator called the Ilizarov apparatus to treat complex bone conditions. The device stabilizes the affected limb with rings and wires or pins, allowing for gradual, precise adjustments to correct deformities, lengthen bones, and promote new bone growth through distraction osteogenesis.

Ilizarov surgery is used to treat severe fractures, non-unions (bones that fail to heal), limb length discrepancies, congenital deformities (such as clubfoot or bow legs), post-traumatic deformities, and bone infections (osteomyelitis). It is also used after bone tumor resections to reconstruct the affected limb.

The Ilizarov apparatus works by attaching rings and wires or pins to the bone through the skin. The device can be adjusted gradually to pull the bone segments apart (distraction osteogenesis), encouraging new bone formation in the gap. This process corrects deformities and lengthens bones over time.

Recovery involves a comprehensive rehabilitation program including physical therapy to maintain joint mobility and muscle strength. Initially, the focus is on pain management and preventing stiffness. Gradually, weight-bearing exercises are introduced. Regular follow-up visits are essential to monitor bone healing and make necessary adjustments to the apparatus. Full recovery can take several months to a year.

Potential risks and complications include infection at pin or wire sites, pain, nerve or blood vessel damage, joint stiffness, delayed bone healing, and the need for additional surgeries. Proper surgical technique, diligent post-operative care, and adherence to rehabilitation protocols are crucial to minimizing these risks.

The duration for wearing the Ilizarov apparatus varies depending on the severity of the condition being treated and the rate of bone healing. Typically, the device is worn for several months, with regular adjustments made by the surgeon. The exact timeline is individualized based on the patient’s progress and the specific treatment goals.