USE OF THE ILIZAROV TECHNIQUE TO IMPROVE LIMB FUNCTION FOLLOWING HEMIPELVECTOMY

From Ilizarov Unit – “Alessandro Manzoni” Hospital, Lecco – Italy, Director M.A. Catagni Various surgical modalities have been used for reconstruction after limb salvage surgery for pelvic tumours. We present the use of the Ilizarov technique as a second stage adjunct, for the optimisation of function, after first stage tumour resection and arthrodesis. This technique is suitable for selected patients with tumour free survival following the initial resection. Though not described before, our experience indicates it is an alternative to a mammoth one stage internal hemipelvectomy with reconstruction, that is often attempted even though th ...

ARTHRODESIS OF THE ANKLE

Ilizarov composite fixation for the treatment of arthrodesis. A case of 62 years lady with distal tibial pseudoarthrosis post talus fracture and avascular talus necrosis is presented. For arthrodesis of the ankle joint 6 attempts with internal fixation had been performed elsewhere and had failed. To reduce soft tissue transfixation composite fixation was used. Union was achieved with a closed operative procedure without additional bone grafting. Instead "callous massage" alternating compressive and distractive periods in 2 weeks intervals were performed. 15 weeks post-operatively the fixator was dynamized and could be removed. The X-ray sh ...