Correction of combined angular and rotational deformities by the Ilizarov method

Haim Shtarker, Gershon Volpin, Jaque Stolero, Alexander Kaushansky, Mikhail Samchukov

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Deformities of the lower extremities are often a combination of angular and rotational components. The rotational component of combined deformities may be difficult to measure using plain radiography. Based on the current study, the computed tomography rotational malalignment test was developed. Evaluation of lower extremity alignment was done on 56 patients. Rotational malalignment was diagnosed in 14 limbs of nine patients. In all patients, correction of angular and rotational deformities was done simultaneously using an Ilizarov external fixator. The frame included a standard angular distraction system and a derotation block interconnected via an additional empty ring. In all cases, successful correction of angular and rotational deformities was achieved. The pain was eliminated in all seven patients having preexisting chronic joint pain. There were no cases of deep infection or nonunion. This simple and reliable method allowed precise analysis of the deformity in the transverse plane. Preoperative frame construction incorporating the derotational module decreased the time of the operation and allowed one-stage correction of rotational and angular deformities without additional manipulations.

Original languageEnglish (US)
Pages (from-to)184-195
Number of pages12
JournalClinical Orthopaedics and Related Research
Issue number402
StatePublished - Sep 2002

Fingerprint

Ilizarov Technique
Lower Extremity
External Fixators
Arthralgia
Radiography
Chronic Pain
Extremities
Tomography
Pain
Infection

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Correction of combined angular and rotational deformities by the Ilizarov method. / Shtarker, Haim; Volpin, Gershon; Stolero, Jaque; Kaushansky, Alexander; Samchukov, Mikhail.

In: Clinical Orthopaedics and Related Research, No. 402, 09.2002, p. 184-195.

Research output: Contribution to journalArticle

Shtarker, Haim ; Volpin, Gershon ; Stolero, Jaque ; Kaushansky, Alexander ; Samchukov, Mikhail. / Correction of combined angular and rotational deformities by the Ilizarov method. In: Clinical Orthopaedics and Related Research. 2002 ; No. 402. pp. 184-195.
@article{4ffea21c94d74c528f708b7586ca434c,
title = "Correction of combined angular and rotational deformities by the Ilizarov method",
abstract = "Deformities of the lower extremities are often a combination of angular and rotational components. The rotational component of combined deformities may be difficult to measure using plain radiography. Based on the current study, the computed tomography rotational malalignment test was developed. Evaluation of lower extremity alignment was done on 56 patients. Rotational malalignment was diagnosed in 14 limbs of nine patients. In all patients, correction of angular and rotational deformities was done simultaneously using an Ilizarov external fixator. The frame included a standard angular distraction system and a derotation block interconnected via an additional empty ring. In all cases, successful correction of angular and rotational deformities was achieved. The pain was eliminated in all seven patients having preexisting chronic joint pain. There were no cases of deep infection or nonunion. This simple and reliable method allowed precise analysis of the deformity in the transverse plane. Preoperative frame construction incorporating the derotational module decreased the time of the operation and allowed one-stage correction of rotational and angular deformities without additional manipulations.",
author = "Haim Shtarker and Gershon Volpin and Jaque Stolero and Alexander Kaushansky and Mikhail Samchukov",
year = "2002",
month = "9",
language = "English (US)",
pages = "184--195",
journal = "Clinical Orthopaedics and Related Research",
issn = "0009-921X",
publisher = "Springer New York",
number = "402",

}

TY - JOUR

T1 - Correction of combined angular and rotational deformities by the Ilizarov method

AU - Shtarker, Haim

AU - Volpin, Gershon

AU - Stolero, Jaque

AU - Kaushansky, Alexander

AU - Samchukov, Mikhail

PY - 2002/9

Y1 - 2002/9

N2 - Deformities of the lower extremities are often a combination of angular and rotational components. The rotational component of combined deformities may be difficult to measure using plain radiography. Based on the current study, the computed tomography rotational malalignment test was developed. Evaluation of lower extremity alignment was done on 56 patients. Rotational malalignment was diagnosed in 14 limbs of nine patients. In all patients, correction of angular and rotational deformities was done simultaneously using an Ilizarov external fixator. The frame included a standard angular distraction system and a derotation block interconnected via an additional empty ring. In all cases, successful correction of angular and rotational deformities was achieved. The pain was eliminated in all seven patients having preexisting chronic joint pain. There were no cases of deep infection or nonunion. This simple and reliable method allowed precise analysis of the deformity in the transverse plane. Preoperative frame construction incorporating the derotational module decreased the time of the operation and allowed one-stage correction of rotational and angular deformities without additional manipulations.

AB - Deformities of the lower extremities are often a combination of angular and rotational components. The rotational component of combined deformities may be difficult to measure using plain radiography. Based on the current study, the computed tomography rotational malalignment test was developed. Evaluation of lower extremity alignment was done on 56 patients. Rotational malalignment was diagnosed in 14 limbs of nine patients. In all patients, correction of angular and rotational deformities was done simultaneously using an Ilizarov external fixator. The frame included a standard angular distraction system and a derotation block interconnected via an additional empty ring. In all cases, successful correction of angular and rotational deformities was achieved. The pain was eliminated in all seven patients having preexisting chronic joint pain. There were no cases of deep infection or nonunion. This simple and reliable method allowed precise analysis of the deformity in the transverse plane. Preoperative frame construction incorporating the derotational module decreased the time of the operation and allowed one-stage correction of rotational and angular deformities without additional manipulations.

UR - http://www.scopus.com/inward/record.url?scp=0036712728&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036712728&partnerID=8YFLogxK

M3 - Article

C2 - 12218483

AN - SCOPUS:0036712728

SP - 184

EP - 195

JO - Clinical Orthopaedics and Related Research

JF - Clinical Orthopaedics and Related Research

SN - 0009-921X

IS - 402

ER -