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MULTILEVEL OSTEOSYNTHESIS OF THE LOWER EXTREMITIES BY
THE ILIZAROV METHOD TO ELIMINATE DEFORMITIES AND
SHORTENINGS IN CHILDREN AND ADOLESCENTS
Mirzamurodov H.X.
Khodzhanov I.Yu.
Bukhara State Medical Institute, Republic of Uzbekistan,
Bukhara,Uzbekistan
https://doi.org/10.5281/zenodo.12683293
Annotation
Multilevel osteosynthesis of the lower extremities by the Ilizarov method
is an effective method of treating deformities and shortenings in children and
adolescents. This approach allows you to correct both congenital and acquired
pathologies, restoring the normal anatomy and function of the limbs. The study
analyzed the clinical data of 50 patients aged 5-18 years who were treated using
the Ilizarov method. Efficacy was evaluated based on radiographic data and
clinical criteria such as pain level, limb function, and aesthetic outcome. The
results showed that 85% of patients showed a significant improvement in the
functionality and aesthetic condition of the lower extremities. The Ilizarov
method has proven to be highly effective and safe, providing stable clinical
results and minimal risk of complications.
Keywords
Multilevel osteosynthesis, Ilizarov technique, deformity correction, limb
shortening, children, adolescents.
Relevance
Deformities and shortening of the lower extremities in children and
adolescents are a serious medical problem that affects the quality of life and
functional capabilities of patients. Congenital and acquired abnormalities can
lead to significant movement restrictions, gait disorders, and pain syndromes,
which negatively affect the psychoemotional state and social adaptation of
children. Modern methods of treatment are aimed at eliminating these disorders
and restoring the normal anatomy and function of the limbs. The Ilizarov
method, developed by Soviet surgeon Gavriil Abramovich Ilizarov, is widely
recognized as one of the most effective approaches to treating deformities and
shortening of limbs. It allows you to achieve high clinical results due to a multi-
level approach to the correction of pathology, ensuring the stability of fixation
and the possibility of gradual changes in the position of bone fragments. The
relevance of this study is determined by the need to further improve treatment
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methods and improve clinical outcomes in children and adolescents with
deformities and shortenings of the lower extremities. Improved treatment
methods will improve the quality of life of patients and reduce the incidence of
complications.
Goal
The aim of this study was to evaluate the effectiveness and safety of
multilevel lower limb osteosynthesis using the Ilizarov method in children and
adolescents to eliminate deformities and shortenings.
Materials and methods
The study included 50 patients aged 5-18 years who underwent Ilizarov
treatment in specialized orthopedic centers. All patients were diagnosed with
congenital or acquired deformities and shortening of the lower extremities.
Diagnosis and control were performed using radiography and clinical criteria:
pain level, limb function, and cosmetic outcome. The procedures were
performed under the supervision of experienced surgeons. Patients were
observed throughout the entire period of treatment and rehabilitation, which
allowed us to obtain objective data on the results of therapy.
Results
The results of the study showed that 85% of patients showed a significant
improvement in the functionality and aesthetic condition of the lower
extremities. Shortening was completely or partially eliminated, and deformities
were corrected to normal anatomical parameters. In 10% of cases,
complications occurred that were successfully resolved during further
treatment. The average recovery time ranged from 6 to 12 months, depending
on the initial severity of the pathology and the amount of intervention. Patients
and their parents noted a high level of satisfaction with the results of treatment,
which indicates the social significance of the method.
Conclusion
Multilevel osteosynthesis of the lower extremities by the Ilizarov method is a
highly effective and safe method for correcting deformities and shortenings in
children and adolescents. The method allows achieving a significant
improvement in functional and aesthetic parameters with minimal risk of
complications. The results obtained confirm the need for further use and
development of the Ilizarov method in pediatric orthopedics. Individual
approach to each patient and careful monitoring at all stages of treatment are
key factors for achieving the best clinical outcomes. Further research and
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improvement of methods will improve the quality of life of patients and reduce
the incidence of complications.
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