What Is Ilizarov?
The Ilizarov method is an external fixation system used to correct bone deformities, treat ununited fractures and perform limb lengthening.
Applications of the Ilizarov Method
- Limb Lengthening
- Treatment of Fracture Nonunion
- Deformity Correction
- Traumatic Bone Loss and Reconstruction
- Osteomyelitis Treatment
Ilizarov Surgery and the Process
- Fixing the circular frame to the bone
- Treatment begins with cutting the bone as planned
- Daily millimetric adjustments are made according to the patient's condition
- The device is removed once healing is complete
Advantages
- It is a minimally invasive method
- Lengthening and deformity correction can be performed together
- It has a high success rate
When Is the Ilizarov Method Used?
Limb Lengthening (Height and Leg Lengthening)
Correction of Congenital and Acquired Deformities
Malunited Fractures (Malunion) and Ununited Fractures (Nonunion)
Osteomyelitis (Chronic Bone Infections)
Traumatic Bone Loss and Reconstructive Surgery
Limb-Preserving Treatments for Diabetic Foot and Bone Infections
How Is the Ilizarov Method Performed?
Surgical Preparation and Planning
- The patient's bone structure, deformity and lengthening needs are analyzed in detail.
- A treatment plan is developed using imaging such as X-rays, computed tomography (CT) and magnetic resonance imaging (MRI).
- The locations for wires and rings during surgery are determined.
Surgery and Device Placement
- The operation is performed under general or spinal anesthesia.
- An osteotomy (bone cut) divides the bone into two parts. This is necessary to begin controlled lengthening or deformity correction.
- The Ilizarov device is fixed to the bone with metal rings placed around it and attached fine wires or pins.
- The device connections are adjusted so that lengthening or correction progresses in a controlled manner according to the plan.
After Surgery and During Lengthening
- The patient is taught how to adjust the device daily. An average of 0.75 – 1 mm of lengthening or correction is performed each day.
- Bone regeneration is monitored at regular medical checkups.
- Complete recovery may take between 4 months and 1 year, depending on the extent of the procedure.
Advantages of the Ilizarov Method
Bone Lengthening and Deformity Correction Can Be Performed Together
Low Risk of Blood Vessel and Nerve Damage
Natural Healing through Regeneration of the Patient's Own Bone Tissue
Effective for Bone Loss after Severe Trauma and Infection
Can Be Safely Used in Children and Adults
Risks and Disadvantages of the Ilizarov Method
Externally Fixed Metal Rods and Wires May Cause Discomfort
Risk of Infection at Pin Entry Sites in the Skin
Daily Device Adjustments May Be Psychologically and Physically Tiring
Requires Patience Because the Device Is Used for a Long Time
Complications such as infection and pain can largely be prevented with appropriate care and regular medical checkups.
Who Is Suitable for the Ilizarov Method?
Patients with congenital or acquired bone deformities
People wishing to undergo height lengthening surgery
Patients requiring reconstruction because of severe trauma or bone loss
Patients receiving treatment for osteomyelitis (chronic bone infection)
Patients with malunited or ununited fractures in the leg
⛔ Who Is Not Suitable for the Ilizarov Method?
Patients with poor bone-healing capacity (such as advanced osteoporosis)
Those with serious vascular disease affecting circulation
Patients psychologically unable to manage a prolonged treatment process
Frequently Asked Questions about Ilizarov Techniques
How Long Does the Ilizarov Method Take to Produce Results?
Treatment duration depends on the patient and extent of the procedure. On average, the device is removed within 4 to 12 months.
Is the Ilizarov Method Painful?
Some pain may be felt initially, but appropriate pain management and physical therapy can make the process more comfortable.
Can I Walk with an Ilizarov Device?
Yes. After a certain stage, patients can walk and continue daily activities while wearing the device.
Is Physical Therapy Needed after Ilizarov Treatment?
Yes. Physical therapy is extremely important for a successful outcome.
Will My Bone Regain Its Strength after the Device Is Removed?
Yes. Once completely healed, the bone regains its previous strength and can function normally.
Conclusion and Summary
The Ilizarov method is one of the most reliable surgical techniques for bone lengthening, deformity correction and treatment of ununited fractures.
Enables natural bone regeneration
Can correct even severe orthopedic deformities
Offers a lasting solution by supporting regeneration of your own bone
Prof. Dr. Mustafa Gökhan Bilgili, offers patients the best treatment options by using the latest Ilizarov techniques.
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