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Ilizarov Method: The Early Post-op period (the Latent Phase)

Dr. Mangal Parihar 

- Discussion:
The early post operative period extends from the time the patient comes out of surgery till the beginning of distraction. Even before the patient comes out of the OT one needs to confirm that the operative plan has been carried out correctly by proper 'final' x-rays of the part. Relying on 'eyeballing' skills or the small localized views are notoriously imprecise. The pinsites and the corticotomy sites are apt to bleed and this can be prevented by external tamponade in the form of large dressing pads compressing the skin around these areas. All the connection bolts in the frame must be tight. the wires cut and bent smoothly so as not to snag on clothing, and Schanz screws cut as short as possible with the cut ends covered by tape. Finally the ROM of the joints proximal and distal to the fixator must be checked again to ensure that their movements are not impeded by any of the wires, and if needed surgical releases must be performed around the offending wires. 

- 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