What is the Ilizarov Application?
The Ilizarov application, also known as bone lengthening application, is a versatile procedure that utilizes a circular external fixator device to attach the bone through transfixation wires. This procedure is designed to lengthen the bone. The procedure involves cutting the bone, which further permits the attachment of the wires. The periodic adjustment of the external fixator creates a distractive lengthening force that slowly stimulates new bone growth.
This procedure is considered medically important for the correction of several congenital or post-traumatic limb length discrepancies and angular deformities of the arm, forearm, thigh, or leg.
Benefits of Ilizarov Surgery
- Ilizarov application in Delhi is a minimally invasive and customizable procedure aimed at lengthening the bone without involving huge cuts or a traditional surgical approach.
- As this procedure is minimally invasive, the hospital stay after the surgery is short.
- The procedure results in less bleeding, fewer chances of infection, and soft tissue damage.
- It is a good approach to treat multiple fractures or angular deformity.
- The doctors call it an effective procedure for open bone injuries and infections.
- The Ilizarov application allows necessary reposition of the bone fragments and avoids the chances of amputation or joint replacement.
- The surgery helps in equalizing bone discrepancies of several inches.
- As the procedure is minimally invasive, it ensures faster healing, speedy recovery, and early mobility and weight-bearing activities.
- The success rate of this procedure is very high, and there is less disability and a lower recurrence rate.
- The treatment time is reduced, which also saves you additional costs.
Ilizarov vs Traditional Methods
- Technique Used: Ilizarov application uses external circular frames with pins and wires, while traditional surgery involves internal plates, rods, and screws.
- Bone Lengthening: Ilizarov allows gradual bone lengthening and deformity correction. On the other hand, traditional methods have a limited ability for progressive adjustment.
- Healing Process: The healing process in the Ilizarov method is quicker as it uses a minimally invasive approach. In traditional methods, the healing process is slower.
- Invasiveness: As stated, Ilizarov fixation of the bone is a less invasive method with small wire insertions when compared to traditional surgeries.
- Adjustability: Ilizarov frames may be adjusted during the treatment. On the other hand, it is difficult to modify rods used in traditional methods without another surgery.
- Complications: Ilizarov surgery may cause slight pain and may lead to infection if due care is not taken post-surgery. Under traditional surgery, the risk of complications is slightly higher, with instances like non-union of the bones or even the risk of implant failure.
When is the Ilizarov Application performed?
The doctor may recommend Ilizarov surgery in Delhi to treat the following deformities:
- Limb length discrepancy is characterized by shortened limbs due to trauma or congenital issues.
- Non-union or malunion fractures occur when the bones fail to heal or heal improperly.
- Any bone infection
- Severe angular deformities in the leg or arm
- Segmental bone loss caused by previous surgery or any other injury
- Congenital limb deformities
- Failed internal fixation or complications arising from previous surgeries.
How is Ilizarov Surgery Performed?
The length of Ilizarov surgery in Delhi is characterized by the type of bone the surgeon is treating and the extent of the treatment. Before the surgery, you will be given general anesthesia that puts you to sleep to avoid any discomfort or pain. The surgery involves two stages, namely traditional osteotomy and corticotomy. The former makes a break through the bone, and the latter cuts through the outer layer of the bone. Here are the steps involved.
- The surgeon drills the affected bone surgically to make a break and pass wires into it through the skin.
- The wires are then guided out of the opposite side of the bone.
- The protruding ends of the wires are attached to metal rings, which are further connected and fixed to one another with the help of threaded rods.
- These wires are then held under tension to enhance stability.
- The surgeon performs the second part of the surgery, called corticotomy, by cutting the cortex of the bone.
- Once this step is performed, the surgeon closes the surgery by making necessary adjustments in the rods between the rings and dressing the site of the incision.
Cost of Ilizarov Surgery in Delhi
The average cost of Ilizarov surgery in Delhi ranges from 90,000 INR to over 3,50,000 INR, depending on the complexity of the case. The cost is further characterized by the following factors:
- A private hospital charges more than a government institution.
- The experience and expertise of the surgeon are important factors in deciding the cost of the surgery.
- Basic deformity correction costs less than complex limb lengthening procedures.
- The duration of the fixator usage, the need for the important implant, and the duration of your stay at the hospital are other factors that determine the overall cost of the surgery.
Why Choose Dr. Ashwani Maichand for Ilizarov Surgery?
When it comes to opting for Ilizarov surgery to correct any kind of bone deformity in Delhi, Dr. Ashwani Maichand is the name to trust. Choosing Dr. Maichand ensures expert care backed by decades of orthopaedic experience and specialization in complex limb reconstruction. Dr. Maichand is a highly skilled professional with expertise in managing deformities, limb length discrepancies, and difficult non-union cases with advanced Ilizarov techniques.
Dr. Maichand's approach focuses on minimally invasive methods, precision, and natural healing. Each patient is given a personalized treatment plan throughout the treatment, including post-operative care, leading to improved outcomes and faster functional recovery.
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Dr. Ashwani Maichand
MBBS, MS(Orthopaedics) | Mch(Orthopaedics)
- Sr. Consultant & Director at Minomax Orthopaedics
- Director Orthopaedics, CK Birla Hospital
- Fellowship Joint Replacement (USA & GERMANY)
- Visiting Surgeon HELIOSENDO at klinik, Hamburg, Germany
Dr. Ashwani Maichand brings with him a rich experience of Orthopaedics, more than a decade of which has been dedicated to joint reconstruction.
