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The combined use of the Ilizarov method and microsurgical techniques for limb salvage.

Publication ,  Journal Article
Hollenbeck, ST; Woo, S; Ong, S; Fitch, RD; Erdmann, D; Levin, LS
Published in: Ann Plast Surg
May 2009

The purpose of this article is to review clinical outcomes and propose a new classification scheme for combined use of Ilizarov Method with free tissue transfer for limb salvage. This is an Institutional Review Board-approved retrospective review of 62 patients treated with free tissue transfer and Ilizarov method over the past 15 years at a single institution. The surgical management of these patients is classified into 4 distinct approaches. The mean age was 37 years with the most common injury being Gustillo IIIB tibial fractures (61%). Eighty-seven percent of patients had failed prior fixation and 63% had osteomyelitis with a draining wound. The overall flap survival rate was 97%. The mean duration of Ilizarov fixation was 6.9 months with a mean limb length correction of 3 cm. The overall rate of primary bony union was 74%. With a mean follow-up of 42 months, the combined techniques resulted in limb salvage for 84% of cases. Failure of primary bony union was the only predictor of limb amputation. This multidisciplinary approach to limb salvage combines reconstructive microsurgery and the Ilizarov method.

Duke Scholars

Published In

Ann Plast Surg

DOI

EISSN

1536-3708

Publication Date

May 2009

Volume

62

Issue

5

Start / End Page

486 / 491

Location

United States

Related Subject Headings

  • Young Adult
  • Tibial Fractures
  • Surgical Flaps
  • Surgery
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Osteosarcoma
  • Multiple Trauma
  • Middle Aged
  • Microsurgery
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hollenbeck, S. T., Woo, S., Ong, S., Fitch, R. D., Erdmann, D., & Levin, L. S. (2009). The combined use of the Ilizarov method and microsurgical techniques for limb salvage. Ann Plast Surg, 62(5), 486–491. https://doi.org/10.1097/SAP.0b013e318189a9e5
Hollenbeck, Scott T., Shoshana Woo, Siang Ong, Robert D. Fitch, Detlev Erdmann, and L Scott Levin. “The combined use of the Ilizarov method and microsurgical techniques for limb salvage.Ann Plast Surg 62, no. 5 (May 2009): 486–91. https://doi.org/10.1097/SAP.0b013e318189a9e5.
Hollenbeck ST, Woo S, Ong S, Fitch RD, Erdmann D, Levin LS. The combined use of the Ilizarov method and microsurgical techniques for limb salvage. Ann Plast Surg. 2009 May;62(5):486–91.
Hollenbeck, Scott T., et al. “The combined use of the Ilizarov method and microsurgical techniques for limb salvage.Ann Plast Surg, vol. 62, no. 5, May 2009, pp. 486–91. Pubmed, doi:10.1097/SAP.0b013e318189a9e5.
Hollenbeck ST, Woo S, Ong S, Fitch RD, Erdmann D, Levin LS. The combined use of the Ilizarov method and microsurgical techniques for limb salvage. Ann Plast Surg. 2009 May;62(5):486–491.

Published In

Ann Plast Surg

DOI

EISSN

1536-3708

Publication Date

May 2009

Volume

62

Issue

5

Start / End Page

486 / 491

Location

United States

Related Subject Headings

  • Young Adult
  • Tibial Fractures
  • Surgical Flaps
  • Surgery
  • Retrospective Studies
  • Plastic Surgery Procedures
  • Osteosarcoma
  • Multiple Trauma
  • Middle Aged
  • Microsurgery