Deformity Correction of Lower Extremities by Application of Ilizarov |Biomedgrid

Objective: The objective of this study is to evaluate the results of osteotomy and application of Ilizarov of lower limb deformities. Material and Methods: This is a case series study on 23 patients of either sex that has been conducted in the Department of Medical Teaching Institute Hayatabad Medical Complex and Akbar Medical Center Peshawar from November 2016 to April 2021. The age of the patients was 10 and above. To reduce the bias, we have excluded patients with diabetes mellitus, patients on oral anticoagulants, tobacco addicts and those on steroid or immunocompromised patients. Preoperative deformity was calculated that how much time it will take to correct, so when the deformity is corrected double the time was required for consolidation of the callus at corticotomy site. So, some frames were removed early while others were removed late. All the data were collected with the help of a proforma and then entered SPSS version 20 for analysis [1,2]. Results: There were total 23 patients in which male 9(39.1%) and female were 14(60.9%). The mean age was 19.39 while minimum was 10 and maximum was 40 years. Both sides were involved 6(26.1%) in right while 9(39.1%) was involved in left 8(34.8%) in cases. The deformity was ankle in 4(17.4%), femur in 4(17.4%), knee in 8(34.8%) while tibia was involved in 7(30.4%) cases. Single osteotomy was done in 16(69.6%) while double osteotomy was done in 7(30.4%) cases due to the CORA calculated in two places. Ten (43.5%) cases were totally complication free while there was acceptable residual deformity in 4(17.4%), pin lessening in 2(8.7%), pin tract infection 3(13.0%), and restricted knee movement in 4(17.4%). Conclusion: Ilizarov External fixator is best for deformity correction in all dimensions and directions if the patient and attendant are complaint otherwise.