Post-Traumatic Reconstruction of the Ankle Using the Ilizarov Method

HSS Journal


S. Robert Rozbruch, MD

Chief, Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery
Attending Orthopaedic Surgeon, Hospital for Special Surgery
Professor of Clinical Orthopaedic Surgery, Weill Cornell Medical College
President, Limb Lengthening & Reconstruction Society (LLRS.org)

Abstract
Reconstruction of the ankle after trauma requires a variety of treatment strategies. Once the personality of the problem is appreciated, a tailored approach may be implemented. The Ilizarov method provides a versatile, powerful, and safe approach. It is particularly useful in the setting of infection, bone loss, poor soft-tissue envelope, leg length discrepancy (LLD), bony deformity, and joint contracture.  In this article, a variety of post-traumatic ankle (PTA) pathologies are discussed. Treatment methods including osteotomy, arthrodesis, distraction, correction of contracture, nonunion repair, tibia and fibula lengthening are reviewed. The use of the Ilizarov method for acute and/ or gradual correction as well as the application of simultaneous treatments at multiple levels is illustrated in this article.

This article appears in HSS Journal: Volume 1, Number 1.
View the full article at springerlink.com.


About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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