Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopedics

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Orthopaedic department №5

Chief of the dept.
Dmitrij J. Borzounov

Specialization

congenital and acquired false joints of tubular bones, complicated with deformities and shortening of limb segments
malunions of tubular bones
tubular bone defects, caused by trauma, gunshots fractures, hematogenous osteomyelitis, unsuccessful endoprosthesis and bone transplantation associated with deformities of limb segments, joint contractions and evident scarry changes of soft tissues
benign bone and osteochondral tumours and exostosis
bone cysts
bone fibrous dysplasia

Staff

Dmitrij J. Borzounov	- chief of the dept., Doctor of Medicine, leading research officer, physician of the superior medical category
Vladimir A. Shestakov	- PhD in medicine, honoured doctor of Russian Federation, traumatologist of the superior medical category
Valerij J. Morozov	- traumatologist of the I-st medical category
Alexander J. Chevardin	- PhD in medicine, traumatologist of the I-st medical category
Oleg V. Kolchev	- research assistant
Alexander I. Mitrofanov	- research assistant

Case report

Case 1

Patient R., age 23, diagnosis: posttraumatic defect-pseudoarthrosis of radius, diastasis of ulnar bone 11cm, subluxation of the head of the left ulnar bone, combined contractions of ulnar joint, radiocarpal joint, metacarpophalangeal joint and interphalangeal joints, neuropahy of radial and ulnar nerves, foreign body.
	before treatment	after treatment

Case 2

Patient E., age 21, diagnosis: posttraumatic subtotal defect-dysostosis of right tibia in upper third, extension contraction of right knee joint.
	before treatment	after treatment

Case 3

Patient T., age 26, diagnosis: consolidated shotgun fracture of right thigh bone in upper third, shortening up to 7 cm, foreign body (intramedullary pivot) of right thigh bone.
	before treatment	after treatment

Case 4

Patient L., age 65, diagnosis: posttraumatic defect-pseudoarthrosis in lower third of right thigh bone, thigh shortening up to 5 cm, foreign body (intramedullary pivot, wire) of right thigh bone.
	before treatment	after treatment

Case 5

6-year old patient.
Sequelae of hematogenous osteomyelitis that she had at 5 months of age. Defect-diastasis of the right tibia. Varus deformity. Size of the true defect – 6cm. In 1999 she underwent 2 interventions to manage the defect at her community hospital: one with the Ilizarov technique, the other was using allograft. In 2002 there was another failed attempt to use Ilizarov to solve the problem at her community hospital. After that she continued treatment at our center.

16.03.04. – Operation: osteotomy of the proximal tibia, of the middle third of the fibula at the apex of the deformity. Management of the defect and segment lengthening during 45 days. The fixator was removed on the 72nd fixation day.

Case 6

Patient P., 28 y.o.,
sustained the injury 2 years before the admittance, had plating twice nut consolidation was not achieved. Open adaptation of the fragments end was not performed due to congruent profiles of the humeral fragments. Longitudinal compression was maintained with the rate 0.75-1.00 mm per day once in 10-14 days.

The integrity of the bone was restored by the 82nd fixation day.

Case 7

Female patient V., 56 y.o.,
had an injury 9 month prior to admittance to our clinic and had a previous plating. The plate at the fragmental junction was removed.

Longitudinal and side-to-side compression were used to achieve union that occurred after 152 days.

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