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Long bone reconstruction using multilevel lengthening of bone defect fragments

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Abstract

Purpose

This paper presents experimental findings to substantiate the use of multilevel bone fragment lengthening for managing extensive long bone defects caused by diverse aetiologies and shows its clinical introduction which could provide a solution for the problem of reducing the total treatment time.

Methods

Both experimental and clinical multilevel lengthening to bridge bone defect gaps was performed with the use of the Ilizarov method only.

Results

The experimental findings and clinical outcomes showed that multilevel defect fragment lengthening could provide sufficient bone formation and reduction of the total osteosynthesis time in one stage as compared to traditional Ilizarov bone transport. The method of multilevel regeneration enabled management of critical-size defects that measured on average 13.5 ± 0.7 cm in 78 patients.

Conclusions

The experimental and clinical results proved the efficiency of the Ilizarov non-free multilevel bone plasty that can be recommended for practical use.

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Acknowledgement

I highly appreciate V.I. Shevtsov’s advice, the help of N.V. Petrovskaya for assisting during operations on animals, and A.M. Chirkova for histological studies.

Conflict of interest

There are no conflicts of interest.

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Authors and Affiliations

  1. Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, 6, M. Ulianova Street, Kurgan, 640014, Russian Federation

    Dmitry Y. Borzunov

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  1. Dmitry Y. Borzunov
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Correspondence to Dmitry Y. Borzunov.

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Borzunov, D.Y. Long bone reconstruction using multilevel lengthening of bone defect fragments. International Orthopaedics (SICOT) 36, 1695–1700 (2012). https://doi.org/10.1007/s00264-012-1562-1

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  • DOI: https://doi.org/10.1007/s00264-012-1562-1

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