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Current Concepts Review   |    
Current Concepts Review - Limb-Lengthening, Skeletal Reconstruction, and Bone Transport with the Ilizarov Method*
JAMES ARONSON, M.D., LITTLE ROCK, ARKANSAS
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Investigation performed at the University of Arkansas for Medical Sciences, Little Rock
J Bone Joint Surg Am, 1997 Aug 01;79(8):1243-58
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Ilizarov embarked on his remarkable medical career as a general practitioner in the small industrial town of Kurgan, Siberia, after World War II69,75,96. Antibiotics were scarce, and chronic osteomyelitis associated with loss of bone, non-unions, and skeletal deformities were so common that Ilizarov found himself practicing orthopaedics although he had had no formal training in that specialty. With the use of modular-ring external fixators and transosseous wires attached to the rings under tension to stabilize the bone fragments, he introduced the concept of induction of local bone formation with a minimally invasive procedure69,75,96. Ilizarov coined the term distraction osteogenesis to describe the induction of new-bone formation between osseous surfaces that are gradually pulled apart9. His clinical successes in the salvage of limbs that would otherwise have been amputated and in the return of disabled patients to productive levels of activity eventually spread by word of mouth throughout the Communist bloc of countries69,75. By 1981, a group of Italian orthopaedic surgeons had learned of his technique9. More recently, the method was introduced in North America, where it has been adopted primarily for limb-lengthening12,49,120,125 and the correction of limb deformities as well as the treatment of non-unions and bone loss secondary to trauma, infection, or tumor39,41,43,46,76,78,99,114,124,135,142.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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