Myotopography in Tibial Lengthening

Document Type : TECHNICAL NOTE


1 Olga Stepanovna Novikova MD T & O Department, Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, M.Ulianova, 6, Kurgan, Russia

2 Department of Orthopaedics, Sri Sathya Sai Institute of Higher Medical Sciences, Prashanthigram, Puttaparthi, Andhra Pradesh, India

3 Dept of Radiology, Russian Ilizarov Scientific Centre for “Restorative Traumatology and Orthopaedics”, M.Ulianova, 6, Kurgan, Russia 640005.


Limb lengthening by Ilizarov lengthens not just the long bone, but also the soft tissues too. Damage of the muscles
during corticotomy and their stretching during distraction play a crucial role in occurrence of complications and final
limb function. We present here a systematic codified nomenclature system of each muscle summarising all the
influence that corticotomy and distraction have the particular muscle and demonstrate the same in the setting of tibial
lengthening. This scheme helps the surgeon easily recollect what all muscles are involved in what all ways in each
level of corticotomy thus enabling him to watch out for complications thereof and monitor and accordingly modify the
limb lengthening process.


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