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Ilizarov Method: Neurological Examination

Dr. Mangal Parihar 

- Discussion:
EMG monitoring of patients undergoing lengthening has shown that up to 80% of patients undergoing lengthening show electromyographic changes of neural injury, in spite of no clinical signs. This fact must be remembered especially when large lengthenings are being planned. The patient must have a proper evaluation of the motor and sensory function distal to the fixator. If the damage is noticed only after the motor weakness has occurred, the chances of recovery are diminished. The usual sequence of events in neurological injury during distraction is hyperesthesia in the nerve distribution, hypoesthesia, anesthesia, motor weakness, complete palsy. If recognized early (hyperesthesia, hypoesthesia) and treated appropriately, function is completely regained. 

- Ilizarov Post Op Care 
- Menu:

 - The Early Post-op period (the Latent Phase) 
- Pain relief  
- Limb Positioning 
- The Distraction Phase 
- Neurological Examination 
- Pinsites for Signs of Inflammation / Infection 
- Stability of Frame & Components 
- Ambulation
  Follow-up Checklist (X-rays) 
- Quality of regenerate 
- Physiotherapy 
- The Consolidation Phase 
- Removal of the Fixator and Post Fixator Removal