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Ilizarov Method: Limb Positioning

Dr. Mangal Parihar 

- Discussion:
Proper limb positioning taught early on minimizes the chances of contractures developing later. The commonest cause of a flexion deformity is the tendency to keep a pillow lengthwise under a tibial frame. This causes flexion at the knee. This should be prevented by repeatedly correcting the tendency and keeping an pillow only under the distal most ring in the frame thus allowing the knee to remain fully extended at all times. The other point to be remembered is the necessity of passive dorsiflexion splints for the ankle. This can be easily done by using a strap or bandage around the plantar aspect to the forefoot which is attached to the frame and keeps the foot in a neutral position. In patients undergoing significant tibial lengthening, this splint is required all through the day, and especially in the night. To prevent hip flexion contractures, especially in patients with a femoral frame, the patient has to be taught to lie prone for a few hours a day, and to extend the hip by taking the leg off the edge of the bed. 

- 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 
- Follow-up Checklist (X-rays)
- Quality of regenerate 
- Physiotherapy
The Consolidation Phase 
- Removal of the Fixator and Post Fixator Removal