Out Come of Knee Arthrodesis with Ilizarov Method
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 03
Abstract
Objectives: To determine the functional and radiological outcome of arthrodesis of the knee using the Ilizarov method. Methods: This descriptive study was conducted in Bolan Medical Complex Hospital Quetta and National Institute of Rehabilitation Medicine Islamabad from January 2016 to January 2019.All patients meeting the inclusion criteria were operated with Ilizarov for knee arthrodesis. Clinical evaluation was conducted at follow up with assessment of post-operative pain and patient’s ability to ambulate. Progressive bone fusion and limb alignment were evaluated on serial radiographs. The criterion for a complete arthrodesis was bone bridging on at least two views. Results: The total number of patients in our study were 11 with mean age 35.2 ± 13.6(range 23 to 70) years. All the patients were male. The indications for arthrodesis were post-polio fixed flexion contracture of the knee in 3(27.3%) patients, failed knee arthrodesis with other methods in 2(18.2%),sever knee trauma in 2(18.2%),sever knee pain in 1(9.1%),tuberculosis of knee in 1(9.1%), septic arthritis in 1(9.1%) and Charcot arthropathy in 1 (9.1%) patient. Patients were allowed to had partial weight bearing day after surgery. Full weight bearing was allowed a mean of 145 days (range105-195 days). The average follow up from frame removal was 21 months (range, 12-24months). In all 11(100%) a stable arthrodesis clinically and radiologically was achieved after a mean Ilizarov external fixator time of 147days (range120-195 days). Minimal complications were noted despite early weight bearing and no further surgeries were required. Conclusion: Knee arthrodesis with Ilizarov resulted in stable arthrodesis and pain free mobility. The technique offers several advantages compared with other arthrodesis methods because of fixation versatility, stability and early weight bearing. It had a high union rate and minimal post-operative complications.
Authors and Affiliations
Karim Bakhsh, Farid Ullah Khan Zimri, Amanullah, Attiq ur Rehman, Eid Mohammed
Keywords
Related Articles
- EP ID EP741589
- DOI -
- Views 74
- Downloads 0
Prevalence of Lumbosacral Transitional Vertebrae Among Patients Presented to Hayatabad Medical Complex, Peshawar
Objectives: To find out the prevalence of lumbosacral transitional vertebrae (LSTV) among patients presented to Hayatabad medical complex, Peshawar. Methods: This prospective observational study was conducted at Hayat...
Reamer-Irrigation-Aspiration (RIA) system: The Game Changer.
Intramedullary nailing of long bone fractures have been associated with fat embolism and thermal necrosis due to reaming.1,2 An attempt to reduce the incidence of these complications Reamer-Irrigation-Aspiration(RIA) sys...
Out Come of Ankle Arthrodesis with Ilizarov Method
Objectives: To determine the functional and radiological outcome of arthrodesis of the ankle using the ilizarov method. Methods: This descriptive study was conducted in Bolan Medical Complex Hospital Quetta and Nat...
Five Years Follow up of One Stage Surgery for Congenital Dislocation of Hip in Children of 2-5 Years of Age
To evaluate the results of a single stage combined procedure for congenital dislocation of the hip in 2-5 years group. Material and Methods: This descriptive study was conducted in the Department of Orthopaedics and Spi...
Outcome of Max Page Muscle Sliding Operation for the Treatment of Moderate Volkmann’s Ischemic Contracture of the Forearm
Background Volkmann’s ischemic contracture (VIC) is a disabling condition of the extremities and is quite common condition. When this condition sets in, the prognosis is almost always guarded, despite vigorous physic...