Publication Type:

Journal Article


International Journal of Lower Extremity Wounds, Volume 9, Number 2, p.70-73 (2010)



Acquired, adolescent, article, bone malformation, child, clinical article, Clinical trial, Contracture, distraction osteogenesis, fixed flexion deformity, human, Humans, Ilizarov technique, Joint Deformities, Knee, knee disease, muscle stretching, Orthopedic Procedures, outcome assessment, postoperative period, priority journal, Prospective Studies, Soft Tissue Injuries, surgical approach, surgical technique


Fixed flexion deformity (FFD) of the knee causes significant patient disability and is challenging to orthopedic surgeons because of its complexity. A prospective study was conducted using Ilizarovg's principles of distraction neohistogenesis and differential distraction and Ilizarovg's ring fixator for the correction of this deformity in cases with soft-tissue contracture. This was done without any concurrent bony procedures. A prospective, uncontrolled study of 26 patients (39 knees) was conducted over a 4-year period with prior approval from the local institutional review board. Patients with FFD of the knee without bony ankylosis were treated with knee-spanning 4-ring Ilizarovg's frame and gradual differential distraction. All patients showed complete correction of deformity without any significant complications. The results of this uncontrolled study permit the observation that soft-tissue distraction across a joint using Ilizarovg's principle results in soft-tissue lengthening and correction of joint deformity caused by contractures. This technique needs further detailed examination. © 2010 The Author(s).


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Cite this Research Publication

Ka Gaurav and Vilas, Jb, “A new approach to the management of fixed flexion deformity of the knee using ilizarovg's principle of distraction histogenesis: A preliminary communication”, International Journal of Lower Extremity Wounds, vol. 9, pp. 70-73, 2010.