Abstract
Introduction: Ilizarov technique is one of the excellent methods used for bony lengthening. The current literature states that the maximum possible amount of tibial lengthening by bifocal transport of an Ilizarov apparatus was 22 cm, while the maximum amount of tibial lengthening by unifocal transport of an Ilizarov apparatus was 14.5 cm.Case report: 40 years old Saudi teacher was presented with an open fracture at the right tibia of type 3B. The second debridement was done and ended up with 21.49 cm bone loss of the middle Tibial segment. Local flap plastic surgery was done to cover the skin defect and the bone transport was done at a rate of 1mm/day. The overall healing was excellent, and the patient returned to his pre-injury functional activity and rejoined his job as a teacher.Conclusion: Thus, the current case report is a unique new record of 21.49 cm of tibial lengthening achieved by the Ilizarov apparatus using unifocal transport. This will be a treatment hope for patients with excessive bone loss.
Highlights
Ilizarov technique is one of the excellent methods used for bony lengthening
The current evidence states that the maximum possible amount of tibial lengthening prompted by bifocal transport of an Ilizarov apparatus is 22 cm, while the maximum amount of tibial lengthening by unifocal transport of an Ilizarov apparatus was 14.5 cm
[2] the current case report is a unique new record of 21.49 cm of tibial lengthening achieved by Ilizarov apparatus use using unifocal transport over a duration of two years, two months, and five days
Summary
One of the common methods used to lengthen or reshape the limb bones is the Ilizarov apparatus. The plastic surgeon established a local flap to cover the skin defect and the patient was taken for bone transplant surgery with an Ilizarov frame in place aiming to prepare him for retrograde monofocal transport. He was kept on the frame for seven days, bone transport was performed at a rate of 1 mm/day (Figure 2b). Figure (1c): X-ray showing the lower bone defect of the tibia before the Ilizarov procedure. Most of the range of movement limitations were due to pain During his stay in the hospital, the patient underwent physical therapy. Figure (3b): X-ray two years later showing full consolidation of the docking site and healed status
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