Out Come of Knee Arthrodesis with Ilizarov Method
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 03
Abstract
Objectives: To determine the functional and radiological outcome of arthrodesis of the knee using the Ilizarov method. Methods: This descriptive study was conducted in Bolan Medical Complex Hospital Quetta and National Institute of Rehabilitation Medicine Islamabad from January 2016 to January 2019.All patients meeting the inclusion criteria were operated with Ilizarov for knee arthrodesis. Clinical evaluation was conducted at follow up with assessment of post-operative pain and patient’s ability to ambulate. Progressive bone fusion and limb alignment were evaluated on serial radiographs. The criterion for a complete arthrodesis was bone bridging on at least two views. Results: The total number of patients in our study were 11 with mean age 35.2 ± 13.6(range 23 to 70) years. All the patients were male. The indications for arthrodesis were post-polio fixed flexion contracture of the knee in 3(27.3%) patients, failed knee arthrodesis with other methods in 2(18.2%),sever knee trauma in 2(18.2%),sever knee pain in 1(9.1%),tuberculosis of knee in 1(9.1%), septic arthritis in 1(9.1%) and Charcot arthropathy in 1 (9.1%) patient. Patients were allowed to had partial weight bearing day after surgery. Full weight bearing was allowed a mean of 145 days (range105-195 days). The average follow up from frame removal was 21 months (range, 12-24months). In all 11(100%) a stable arthrodesis clinically and radiologically was achieved after a mean Ilizarov external fixator time of 147days (range120-195 days). Minimal complications were noted despite early weight bearing and no further surgeries were required. Conclusion: Knee arthrodesis with Ilizarov resulted in stable arthrodesis and pain free mobility. The technique offers several advantages compared with other arthrodesis methods because of fixation versatility, stability and early weight bearing. It had a high union rate and minimal post-operative complications.
Authors and Affiliations
Karim Bakhsh, Farid Ullah Khan Zimri, Amanullah, Attiq ur Rehman, Eid Mohammed
Keywords
Related Articles
- EP ID EP741589
- DOI -
- Views 18
- Downloads 0
Single stage arthroscopically assisted reconstruction of Multiligamentous Knee Injury with autografts.
Objective: To determine the functional outcome of single stage arthroscopically assisted reconstruction of multiligamentous knee injury (MLKI) with autografts. Methods: This descriptive study was conducted in Orthopae...
Non-Union and Avascular Necrosis in Fracture Neck of Femur Fixed with Cannulated Screws in Young Adults
To determine the frequency of non-union and avascular necrosis in fracture neck of femur in young adults fixed with cannulated screws. Methods: This descriptive Case series study of 55 patients was conducted from Janu...
Functional Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft and Endo button with Supervised Physical Therapy Rehabilitation.
Objective: To determine the functional outcome of arthroscopic anterior cruciate ligament reconstruction (ACLR) using hamstring tendon as autograft and endobutton followed by supervised physiotherapy. Methods: This desc...
Assessment of Intraoperative Periarticular Cocktail Injection in Patients Undergoing Total Knee Replacement
Objective: Determine the average pain score after intraoperative periarticular cocktail injection in patients who have undergone total knee arthroplasty. Background: Osteoarthritis of the knee is one of the most commo...
Outcome of Dual Nerve Transfer in C5-C6 Brachial Plexus Injuries.
Objective: To determine the outcome of Spinal Accessary nerve to Suprascapular nerve and motor branch of Radial nerve transfer to the Axillary nerve for restoration of shoulder abduction and external rotation in patients...