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Ilizarov Method: Follow-up Checklist (X-rays)

Dr. Mangal Parihar 

- Discussion:
Distraction gap increasing as desired & progressive Correction of deformity. The first few days of distraction does not result in distraction of the corticotomy site, especially in patients with congenital conditions. This is because the first 2 to 3 mm is spent in overcoming tight musculature and fascial structures. Beyond that, the distraction that is measured on the rods and the distraction gap should equal the number of days of distraction. In other words, if the patient has distracted the apparatus for 10 days, we should be able to see 10 threads on the distraction rod, and 10 mm increase in the distraction gap. One must ensure a fixed tube-film and limb-film distance between successive examinations, otherwise the magnification factors could allow errors to creep in to the measurements. In cases where angular correction is being performed, sequential x-rays must confirm a decrease in angular deformity. This necessitates reproducible placement of the limb for the AP and Lateral projections. Very often this can only be achieved by the surgeon himself being present to confirm the positioning of the limb. At the end of the distraction phase, before the distraction is actually stopped, limb length equality and correction of the various mechanical axes should be confirmed by means of a full length standing film. 

- Ilizarov Post Op Care 
- Menu:

 - The Early Post-op period (the Latent Phase) 
- Pain relief  
- Limb Positioning 
- The Distraction Phase 
- Neurological Examination 
- Pinsites for Signs of Inflammation / Infection 
- Stability of Frame & Components 
- Ambulation
  Follow-up Checklist (X-rays) 
- Quality of regenerate 
- Physiotherapy 
- The Consolidation Phase 
- Removal of the Fixator and Post Fixator Removal