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Illizarov Surgery

The length of Ilizarov surgery mainly depends on the type of bone your surgeon is treating as well as the extent of the treatment. The procedure is usually done under general anesthesia and typically involves two stages:

  • Traditional osteotomy – making a break through the bone
  • Corticotomy – cutting through the outer layer (cortex) of the bone
Illizarov Surgery

During the surgery,

  • The affected bone is drilled surgically and a break is made.
  • Kirschner wires are percutaneously passed into the bone via the skin.
  • The wires are then guided out the opposite side of the bone.
  • The protruding ends of the wires are attached to metal rings.
  • The rings are connected and fixed to one another by threaded rods.
  • The wires are then held under tension to enhance stability.
  • Subsequently, corticotomy is performed by cutting the cortex of the bone.
  • Surgery is closed by making necessary adjustments in the rods between the rings.

Osteogenesis occurs in the gap as the distraction continues. Once the distraction is over, the frame allows the new bone to harden. As soon as healing is complete, which may take between 3 to 12 months, the Ilizarov fixator is removed under general anesthesia.


Potential risks or complications of the procedure include:

  • Pain, bruising, bleeding, swelling, Infection
  • Blood clotting (deep vein thrombosis)
  • Nerve palsy (lack of nerve function)
  • Permanent stiffness of the joint
  • Temporary tingling sensation in the skin
  • Anesthesia reaction


  • Minimally invasive, customizable procedure
  • A substantially shorter period of hospital stays
  • Less bleeding, infection, and soft tissue damage
  • Good for multiple fractures or angular deformity
  • Effective for open bone injuries and infections
  • Allows necessary reposition of bone fragments
  • A rare instance of joint stiffness and contractures
  • Avoids amputation and/or joint replacement
  • Equalizes bone discrepancies of several inches
  • Faster healing time and speedy recovery
  • Allows early mobility and weight-bearing
  • Enhances stability and distributes stress evenly
  • Patient mobility throughout the treatment
  • Normal regenerated bone that does not wear out
  • Effective both in mature as well as young bones
  • Less disability or recurrence rate
  • Reduced treatment time as well as cost

Always Focused on the Patient's Health