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J Am Acad Orthop Surg, Vol 12, No 3, May/June 2004, 144-154.
© 2004 the American Academy of Orthopaedic Surgeons
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Use of the Ilizarov Method to Correct Lower Limb Deformities in Children and Adolescents

John G. Birch, MD, FRCSC and Mikhail L. Samchukov, MD

Dr. Birch is Professor, Department of Orthopedic Surgery, University of Texas Southwestern Medical Center at Dallas, and Assistant Chief of Staff, Texas Scottish Rite Hospital for Children, Dallas, TX. Dr. Samchukov is Assistant Professor, Department of Orthopedic Surgery, University of Texas Southwestern Medical Center at Dallas, and Director of Research, Department of Orthopedics, Texas Scottish Rite Hospital for Children.

Reprint requests: Dr. Birch, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219.

The introduction to the West in the early 1980s of the Ilizarov circular external fixator and method resulted in rapid advances in limb lengthening, deformity correction, and segmental long-bone defect reconstruction. The mechanical features of and biologic response to using distraction osteogenesis with the circular external fixator are the unique aspects of Ilizarov’s contribution. The most common indications for children and adolescents are limb lengthening and angular deformity correction. Surgical application and postoperative management of the device require diligent attention to detail by both patient and surgeon. Also required of the surgeon is a thorough appreciation of the basic principles of the apparatus, mechanical axial realignment, potential complications, and biologic response to stretching.




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