[Ilizarov reconstruction of the distal radius after resection of a giant-cell tumor: a case report]. / Reconstruction du radius distal par la méthode d'Ilizarov après résection d'une tumeur a cellules géantes: A propos d'un cas.

We present a case of Ilizarov reconstruction after en bloc resection of the distal radius. An 8-cm resection was required to remove a giant-cell tumor. Reconstruction was based on the ascension technique using an Ilizarov external fixator after corticotomy of the proximal fragment of the radius. Satisfactory reconstruction with formation of a neoarticulation between the radius and the carpus was achieved. Satisfactory wrist function was achieved and the patient was recurrence free at five years. The arguments leading to this therapeutic option are discussed.

[The treatment of infected diaphyseal femoral defects by lengthening one of the bone fragments by Ilizarov].

We analyzed 30 patients with infected diaphyseal defect of femur, which have been treated by lengthening one of the bone fragments with Ilizarov apparatus. The mean length of the bone defect was 6 cm. Substitution of the defect, bone healing and elimination of the infection was achieved in 27 patients. The mean time of apparatus fixation was 10 months. According to Palley scoring system, 10 patients had excellent functional results.

[Paralytic hip dislocation in cerebral palsy--soft tissue surgical procedures].

Results of a combination of soft tissue procedures performed for the first time in treating paralytic dislocation of the hip in cerebral palsy are presented. All hip flexors and adductors release, along with possible transposition or elongation of knee flexors on the side of the dislocation (if knee contracture exceeded 20) were peformed. 75 hips in 57 patients were operated on. 54 patients were analyzed. The average age of the patients was 6.6 years, the average follow-up was 7 years. Excellent result was achieved in 33patients (61%), good in 10 (18,6%), fair in 4 (7,4%) poor in 7 patients (13%). Poor results were registered in patients over 10 years of age and in patients with athetosis. Results were assessed according to clinical finding, radiological finding (migrational percentage) and the ability of patients to walk. When based on radiological findings only, excellent results were achieved in 63 hips (84%). This combination of soft-tissue procedures which includes all muscles that take part in the dislocation proved to be very successful in achieving reposition. It can be recommended to patients suffering from the spastic form of cerebral palsy up to 10 years of age.

[The treatment of "critical ischemia" of the limbs in endarteritis obliterans by thickening of the tibial bone].

The autors report their experience in the treatment of the "critical ischemia" in 8 patients with arterial occlusion of the lower limbs in endarteritis obliterans. All patients were treated by thickening of the tibia using the Ilizarov apparatus for distraction osteosynthesis. In all cases the operative treatment ensured lowering of the amputation level, forming of the functional stump and long-lasting remission of the illness.

[Treatment of gigantocellular tumor of the tibia metaphysis by means of the Ilizarov method--a case study].

The authors show a 36-year old female patient with a gigantocellular tumor of the distal metaphysis of the left tibia (stage III by Campanacci). A 7.6 cm long distal articular defect of the tibia has been formed by radical segmentary resection. The defect was compensated by the extension of the rest of the tibia; whereas the support function of the limb was provided through tibio-talar arthrodesis. 5.5 years after the surgery, there are no signs of local relapses; the patient walks without any orthopedic aids and works at the same job as prior to the operation.

[Use of Ilizarov mini-fixator in the treatment of congenital brachymetatarsia]. / Traitement des brachymétatarsies congénitales par mini-fixateur d'Ilizarov.

PURPOSE OF THE STUDY: The main cause of short metatarsal bones (commonly the fourth metatarsal) is premature closure of the distal epiphyseal plate. We report results of treatment of brachymetatarsia using the Ilizarov mini-fixator. MATERIAL AND METHODS: This study included 10 patients (19 feet) with a shortened fourth (18 feet) and third metatarsal bone. We performed gradual bone lengthening using the Ilizarov mini-fixator by distraction after osteotomy of the shortened metatarsal bone. RESULTS: Bone lengthening was effective (from 5 to 26 mm, mean lengthening 13 mm) almost without stepping out from the metatarsal formula. In terms of discomfort at walking, esthetic aspect of the foot, and shoe wearing, good clinical and cosmetic outcome was achieved. Pain as well as callosities on the plantar aspect of the foot disappeared in all patients. DISCUSSION: This technique of gradual distraction by callostasis gives sufficient lengthening for the treatment of brachymetatarsia. It overcomes the disadvantages of one-stage lengthening which include a small gain in length and neurovascular damage. This method could be recommended as the procedure of choice for solving the problem of brachymetatarsia.

[Bilateral total hip prosthesis replacement in a single procedure]. / Bilateralna totalna proteza kuka ugradena u jednom aktu.

This paper is a case report of a patient with bilateral hip dysplasia, bilateral secondary degenerative changes, adduction contracture and serious walking difficulties. The patient has undergone one-stage bilateral hip replacement. This procedure is advantageous because of fast recovery, fewer complications and rehabilitation easier than in the routine operation of two-stage bilateral total hip replacement.