Correction of genu recurvatum in poliomylitis by the ilizarov method

Mild Genu Recurvatum can cause some disability, but when quadriceps is severely weakened as in poliomyelitis, such a deformity is desirable. However severe genu recurvatum is significantly disabling. The Ilizarov apparatus was used to correct genu recurvatum in eight patients suffering from poliomyelitis using our new technique of pate liar block of the proximal tibia. In six cases, the genu recurvatum was entirely due to capsuloligamentous stretching resulting in posterior translation of the tibia whereas in two cases it was associated with osseous deformity. Preoperatively, the angle of recurvatum averaged 33.8° [23 to 42]. The average duration of external fixation was 4.8 month [3 to 7]. At the last follow-up, all patients, except one, had achieved an excellent or good radiological and functional outcome. Three patients suffered complications including, pin-track infection and Knee stiffness. Our results indicate that the Ilizarov apparatus is an effective tool for managing the deformity of Capsuloligamentous Genu recurvatum, with or without shortening

Ankle joint reconstruction in fibular hemimelia in conjunction with the ilizarov Technique

Fibular hemimelia is a congenital disorder characterized by partial or complete absence of the fibula. It ranges from mildfibular shortening to bilateral involvement with associated defects of the femur, tibia, ankle and foot. This article is a prospective study of 14 patients [15 limb segments] with fibular hemimelia treated by limb lengthening and ankle reconstruction either by distal end of the fibula if present, contra lateral head of fibula or remnants of cartilaginous anlagen. Application of Ilizarov frame was done to start lengthening and correction of foot deformity. There were 7 males and 7 females. At the latest follow-up, the 14 patients were functioning well and had few complications. The findings suggest that these approaches are a more effective method of management of fibular hemimelia. The Ilizarov method is an attractive alternative for those patients