Arkady Blyakher- OPA-C; MD
- OPA-C at Hospital for Special Surgery
Arkady Blyakher
- OPA-C; MD
- OPA-C at Hospital for Special Surgery
About
18
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Introduction
Current institution
Publications
Publications (18)
Unlabelled:
Limb lengthening for humeral length discrepancy is typically accomplished using a traditional monolateral external fixator frame or an Ilizarov-type device, which have distinct shortcomings for the correction of concomitant deformity and application to the upper extremity, respectively. A new monolateral frame, the multiaxial correctio...
Brachymetatarsia is a congenital or developmental condition that results in a short metatarsal. Problems that arise from this condition can include pain, difficulty with shoe wear, and cosmetic concerns. Multiple techniques have been described that successfully correct the deformity, including both acute and gradual distraction. We describe a modif...
Juvenile dermatomyositis is a multisystem, inflammatory vasculopathy that primarily affects muscles and skin. Calcinosis is one of the most debilitating complications affecting patients with juvenile dermatomyositis. Calcifications resulting from calcinosis frequently are located on the elbows, knees, and other joints and can cause considerable dis...
Bone transport is a method of distraction osteogenesis that allows the creation of regenerate bone using a dynamic external fixator. We report on the use of bifocal bone transport to treat a skeletally immature patient with 15 cm of post-traumatic segmental bone loss from the distal tibia.
We report a patient who had resection of the humerus for osteosarcoma, initial reconstruction with a free fibular graft of the humerus, and subsequent lengthening of the graft. A 9-cm (100% of free fibula length) lengthening was achieved to equalize the humerus length. A complication of regenerate fracture was treated successfully with plating. Fou...
Medial compartment arthritis of the knee is a common problem that is typically associated with varus alignment and a weight-bearing axis that lies in the medial compartment. Knee flexion or hyperextension deformity or ligamentous instability may also be present. The young patient who is not an ideal candidate for total knee replacement may benefit...
To determine whether knee arthrodesis with simultaneous lengthening using the Ilizarov method for a nonreconstructable knee joint with bone loss and infection is a successful salvage procedure.
Retrospective review of patients.
University hospital-based orthopaedic practice.
From 1999 to 2001, 4 consecutive patients with a nonreconstructable knee j...
Treatment options for ankle arthrodesis continue to be an area of interest for orthopaedic surgeons. Distraction arthroplasty for the ankle has been shown to be a viable alternative to ankle fusion for some people. This paper reviews the various treatment options for ankle arthrodesis while describing in detail the use of the Ilizarov frame in dist...
A combination of external and internal fixation techniques for a fibular lengthening procedure using the Ilizarov method is described. The technique is minimally invasive, allows precise deformity correction, enables early weight bearing, and minimizes the time that the patient wears the external fixator.
The Ilizarov method for fracture management has historically been reserved for complex deformities, recalcitrant nonunions, and high-grade open fractures. Advances in the understanding of fracture healing and the importance of the soft tissue envelope have led to the use of external fixation for routine fracture management. Application of the Iliza...
Two cases of hypertrophic nonunion of the tibia with deformity for which distraction treatment using an Ilizarov/Taylor Spatial Frame (Smith & Nephew, Memphis, TN) are presented. This frame utilizes a computer program to help plan correction of the deformity.
A cubitus varus deformity, secondary to a supracondylar fracture, was treated with a short oblique osteotomy and the Ilizarov external fixator. An excellent anatomic and functional outcome resulted. This method may prove to be of significant value in the treatment of this difficult deformity.
The goals of treatment of pilon fractures are to restore anatomic alignment to the joint surface and obtain enoughstability of the distal ankle tibia to allow for early motion of the ankle joint. Although difficult to manage, external, fixation using the Ilizarov method provides excellent technically reproducible results in these complex fractures....
Summary Background: The treatment of tibia fractures with a critical sized wound is complicated. When primary closure is not possible, the classic options are rotational or free flap coverage. Soft-tissue coverage is critical to avoid infection. There are instances when flap coverage is not an option. We present an alternative technique for simulta...
