Dr. Karan Kukreja
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Infected non-unions and bone loss after trauma or surgery
Congenital deformities
Severe limb injuries with soft-tissue compromise
Angular or rotational deformities of long bones
Complex fractures not amenable to be managed with conventional methods
Limb length discrepancies
Short stature
Non-union / malunion fracture correction
Bone transport for bone loss or defects
Deformity correction (bow legs, knock knees, various other simple and complex deformities)
Computer assisted six-axis deformity corrections
Trauma reconstruction after severe accidents
Congenital limb deformity correction
Limb lengthening (short stature, post-traumatic, congenital)
Application: Frame applied in the operating room under anaesthesia.
Adjustment phase: Gradual daily adjustments to correct deformity or lengthen bone- is done as needed. Serial x rays confirm progress.
Consolidation phase: Frame holds bone steady while new bone hardens and/or the fracture heals.
Removal: Done as a day-care procedure; usually, a plaster is used for a short period after.
Allows bone regeneration without further surgical trauma in many cases
Helps save limbs that might otherwise need amputation
Enables early mobilization and physiotherapy
Widely used worldwide for complex trauma and deformity correction
Frequently Asked Questions
Case Studies
Condition:
12-year-old girl with growth arrest of the right femur due to childhood infection, causing 38° deformity and 12 cm shortening, leading to difficulty walking even with a shoe raise.
Diagnosis:
Post-infective growth arrest of the femur with severe deformity and limb length discrepancy.
Treatment Summary:
Deformity correction and limb lengthening performed using the Ilizarov technique.
Outcome:
Restored limb function, improved walking ability, and enhanced cosmetic appearance.
Condition:
33-year-old male with persistent non-union and complex deformity (angulation, translation, rotational deformity, and shortening) following multiple surgeries for an open fracture with skin and bone loss.
Diagnosis:
Chronic non-union with multi-planar deformity after open fracture.
Treatment Summary:
Underwent computer-assisted 6-axis deformity correction, enabling gradual and simultaneous correction in all three planes along with bone union.
Outcome:
Achieved complete deformity correction and bone healing without the need for extensive open surgery.
Pic 4 is another example of computerized deformity correction in femur. The hexapod fixator was used in this patient.
Condition:
A 67-year-old male with a severe infection and exposed bone following surgery for a leg fracture, resulting in an infected non-union. The patient was unable to walk.
Procedure:
Ilizarov external fixation for infected tibial non-union with 12 cm bone loss.
Duration of treatment:
18 months.
Outcome:
Restoration of limb function with the ability to walk long distances pain-free and without a limp. The patient successfully resumed pre-injury activities without significant restrictions.
