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Iligaro Fixatures

The Ilizarov procedure is more commonly used to treat complex and/or open bone fractures. This procedure is preferred where there is a high risk of infection or the fracture is of such severity that internal fixators are unworkable. The iligaro fixatures treatment in Guntur is a type of external fixation used in orthopedic surgery to lengthen or reshape limb bones as a limb-sparing technique to treat complex and/or open bone fractures. The procedure consists of an initial surgery, during which the bone is surgically fractured and the ring apparatus is attached.

As the patient recovers, the fractured bone begins to grow together. While the bone is growing, the frame is adjusted by means of turning the nuts, thus increasing the space between two rings. As the rings are connected to opposite sides of the fracture, this adjustment, done four times a day, moves the now-healing fracture apart by approximately one millimetre per day. The incremental daily increases result in a considerable lengthening of the limb over time. Once the lengthening phase is complete, the apparatus stays on the limb for a consolidation period. The patient is able to fully weight bear on the Ilizarov frame, using crutches initially and pain is lessened. Once healing is complete, a second surgery is necessary to remove the ring apparatus. The result is a limb that is significantly longer. The major advantage of this procedure is that because the apparatus provides complete support while the bone is recovering the patient can remain active aiding recovery and can resume daily activities very early.

A further use is in bone transport, whereby a defect in a long bone can be treated by transporting a segment of bone, whilst simultaneously lengthening regenerating bone to reduce the defect and finally dock with the other segment, producing a single bony unit. Careful attention to cleaning and hygiene is necessary to prevent infection. Other complications include swelling, muscle transfixion and joint contractures. Physical therapy is often indicated. If properly done, Ilizarov treatment in best orthopaedic hospitals in Guntur offers very good results even in very bad fractures, long term infection cases.