Current Concepts Review   |    
Current Concepts Review - Limb-Lengthening, Skeletal Reconstruction, and Bone Transport with the Ilizarov Method*
View Disclosures and Other Information
Investigation performed at the University of Arkansas for Medical Sciences, Little Rock
J Bone Joint Surg Am, 1997 Aug 01;79(8):1243-58
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


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.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Results provided by:
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    CA - Mercy Medical Group
    NY - Icahn School of Medicine at Mount Sinai
    OK - The University of Oklahoma