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Limb Reconstruction

Limb reconstruction involves using several techniques to improve the anatomy and functional ability of deficient or deformed limbs. The surgeon realigns the bones and improves sensation and weight-bearing capacity. The conditions in which the limb reconstruction is performed are non-healing fractures, congenital deformities, bone tumors, post-traumatic deformities, and shortening/lengthening of the limb. The techniques include internal fixation, such as nailing or plating, and external fixation, such as monotube or Ilizarov frames.

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  • Lower limb deformity correction: Osteotomy is the procedure for correcting the lower limb. It is a type of joint preservation technique. Lower limb deformity correction is required in patients with a high arch, flat foot, club foot, bowed legs, and tarsal coalition.
  • Upper limb deformity correction: Several deformities in the upper limb may be acquired or congenital. These include burn contractures, tendon problems, fractures, dislocations, and osteomyelitis. There are several correction procedures depending on the type and severity of deformities.
  • Limb lengthening procedures: It is a surgical intervention that corrects limb-length discrepancies. It increases the length of the leg or arm of the patient and stretches the surrounding tendons, muscles, and ligaments.
  • Pelvis deformity correction: Pelvic deformity correction is usually linked to surgical intervention for correcting scoliosis. Pelvic fixation is generally required at an early age for the management of congenital lumbosacral scoliosis and high-grade spondylolisthesis.
  • Joint Arthrodesis: This procedure is also known as joint fusion. In this procedure, the surgeon removes the diseased cartilage and cuts off the ends of the bones. The surgeon then fuses the bone joints through internal fixation, thereby stabilizing the joint. The patient gets relief from the pain caused due to instability of the joint.
  • Bone Defect and Transport Procedures: Bone transport is the procedure for growing new bone in an area with a missing bone due to different causes, such as trauma, infection, or any other disease.
  • Ilizarov Procedure: It is the procedure used for healing complicated fractures. It helps in healing severe skin and tissue loss. It also helps lengthen the long bones if there is a significant loss of bones.

Faq's

What are the next steps after failed limb lengthening surgery?

The condition of the non-healing of the bones is known as non-union. However, it is a rare situation. In such cases, the doctor may opt to stop the limb-lengthening procedure. The surgeon may decide to perform additional surgery or reverse the effects of prior surgery.

Do the patients experience pain after Ilizarov surgery?

Patients may experience pain after Ilizarov surgery. The procedure involves using an external fixator , which may not be easy for several patients. There may be a requirement to wear the frame for several months, resulting in discomfort and pain. Further, removing the external fixator may also cause pain due to pin site inflammation.