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Dr. Panayi specializes in hip and knee arthroplasty (primary and revision), knee arthroscopy - including ACL reconstruction, sport injuries, IM nailing, and ORIF of upper and lower limb.At present, we utilize the NAVIO ROBOTIC SYSTEM to perform robotic-assisted surgeries for knee replacements.
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The Ilizarov technique, a revolutionary approach in orthopedic surgery, has garnered significant attention for its unique ability to lengthen and reshape limbs. This article delves into various aspects of the Ilizarov method, particularly focusing on limb lengthening, its application on the femur, insights from Orthobullets and Physiopedia, and its use in height increase procedures.
Understanding the Technique: The Ilizarov method for limb lengthening involves the use of a specialized external fixator, invented by Dr. Gavriil Ilizarov. This fixator, a circular frame, is attached to the bone via wires and pins. The principle lies in osteogenesis - the bone's ability to regenerate.
Procedure: The surgeon performs a corticotomy, a precise surgical cut in the bone. Following this, the bone is gradually distracted (pulled apart) at a controlled rate, allowing new bone to form in the gap. This process, known as distraction osteogenesis, leads to the lengthening of the bone over time.
Applications: It's used not only for congenital limb length discrepancies but also in post-traumatic cases where bone loss has occurred. The patient's involvement in the adjustment of the fixator is crucial for success.
Special Considerations: When applying the Ilizarov technique to the femur, the largest bone in the body, there are unique considerations. The femur's size and the load it bears require meticulous planning and execution of the procedure.
Procedure Nuances: The external fixator in femoral applications is often more complex due to the bone's anatomy and the need for stable fixation. Adjustments in the fixator's configuration are made to accommodate the femoral curvature and the patient's overall biomechanics.
Orthobullets, a trusted source for orthopedic education, offers valuable insights into the Ilizarov technique.
Key Points: Orthobullets emphasizes the importance of understanding the biology of bone healing and the mechanical aspects of the Ilizarov fixator. It provides detailed guidelines on the procedure, post-operative care, and the management of potential complications.
Physiopedia, an authoritative platform for physiotherapy, sheds light on the rehabilitation aspect of the Ilizarov technique.
Rehabilitation Focus: It highlights the critical role of physiotherapy in ensuring successful outcomes. This includes exercises to maintain joint mobility, muscle strength, and overall functionality during the limb lengthening process.
Growing Interest: The Ilizarov technique's ability to increase height has garnered interest, particularly among individuals seeking cosmetic limb lengthening.
Considerations: While technically feasible, this application warrants thorough consideration of the risks versus benefits. It's essential for individuals to consult with healthcare professionals to understand the implications, including the lengthy and challenging nature of the process.
Ethical and Psychological Aspects: The decision to undergo such a procedure for height increase should be weighed against ethical considerations and potential psychological impacts.
The Ilizarov technique, with its unique approach to bone regeneration and remodeling, stands as a testament to medical innovation. Its applications, from treating limb discrepancies to cosmetic height enhancement, demonstrate its versatility. However, it's crucial for patients to understand the complexities and challenges involved in such procedures. Consulting with experienced orthopedic surgeons and healthcare professionals is paramount for those considering the Ilizarov method for any purpose.
