Leg lengthening in the proximal third using transosseous oateosynthesis method according to Ilizarov

Purpose. To make a comparative analysis of treatment results including the formation details of distraction regenerated bone during the procedure of lengthening the leg proximal third in patients with posttraumatic discrepancy in the length of the legs under the same distraction conditions, and with comparable amounts of lengthening both injured and intact (“normal”) leg. Materials and Methods. The results of treatment in 12 patients with posttraumatic discrepancy of limb length studied. The patients were divided into two groups depending on the segment being lengthened (injured or intact /”normal”/ leg). Group 1 consisted of seven (7) patients with shortening of the injured limb. Group 2 included five (5) subjects with injury consequence in whom shortening of the intact limb with respect to the injured one observed. The results of treatment and X-rays analyzed. Results. The results of treatment considered as good and excellent in the both groups, there were no serious complications influenced the outcome of treatment. The analysis of X-rays demonstrated one and the same type of distraction osteogenesis radiological picture in the both subgroups, as well as it supported high efficiency of the transosseous osteosynthesis according to Ilizarov. Conclusion. The procedure of lengthening the proximal leg third in order to equalize the lower limb length for posttraumatic length discrepancy using the method of guided transosseous distraction osteosynthesis according to Ilizarov applied to both the injured leg and the intact one proceeds favorably and allows avoiding the complications influencing the outcome of treatment.