Simultaneous Joint Arthrodesis and Bone Lengthening by the Ilizarov Method (A Case Report)

Abstract

Large osteoarticular defects of the extremities are challenge cases in orthopaedic surgery. Although there are several conventional treatment options for this kind of skeletal defects, the rate of success is low. We report the case of a 48-year-old patient in whom a large osteoarticular defect including the whole distal tibia, distal fibula and talar dome of the right leg, due to a gunshot injury, was treated with tibial lengthening and tibiotalar fusion by the Ilizarov method. Selected treatment was not just a simultaneous arthrodesis and limb lengthening procedure. Whole distal tibia and ankle region was simultaneously reconstructed using tibiotalar fusion and proximal tibial lengthening. The Ilizarov method is the most important alternative for the orthopaedic surgeon in the reconstruction of large osteoarticular defects of the skeleton. Key words: Osteoarticular defect, bone transport, tibiotalar fusion, the Ilizarov method, ankle İlizarov Metodu ile Eş Zamanlı Artroez ve Kemik Uzatılması Ekstremitelerin büyük osteoartiküler defektleri ortopedik cerrahinin oldukça güç olgularındandır. İskelet sisteminin bu tür defektleri için çeşitli geleneksel tedavi yöntemleri olsa da, başarı oranı düşüktür. Ateşli silah yaralanmasına bağlı tüm distal tibia, distal fibula ve talus kubbesini içeren büyük bir osteoartiküler defekte sahip olan 48 yaşındaki hastanın İlizarov yöntemiyle tibial uzatma ve tibiotalar füzyon ile tedavisini rapor ediyoruz. Seçilen tedavi yöntemi sadece eş zamanlı yapılmış bir artrodez ve ekstremite uzatma işlemi değildi. Bütün sağ distal tibia ve ayak bileği bölgesi tibiotalar füzyon ve proksimal tibial uzatma yapılarak rekonstrükte edildi. İlizarov yöntemi iskelet sisteminin büyük osteoartiküler defektlerinin rekonstrüksiyonunda ortopedik cerrah için en önemli alternatiftir. Anahtar kelimeler: Osteoartiküler defekt, kemik transportu, tibiotalar füzyon, ayak bileği

Keywords

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References

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