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.. Objectives: To determine the outcome of pelvic support osteotomy with Ilizarov method in patients undergoing Girdle stone procedure in terms of pain relief and limb length discrepancy. Study Design: Descriptive case series. Setting: Department of Orthopaedic and Spine Surgery, Ghurki Trust Teaching Hospital/Lahore Medical & Dental College, Lahore. Duration of Study: Six months (19-11-09 to 18-05-10) for sample collection and follow up for next one year after the procedure. Materials and Methods: Forty five patients having hip joint problems were included. The radiographs would include plain radiographs of the pelvis in neutral and single limb standing position and the femur of involved side to assess the pelvic obliquity. Surgery was performed in the supine position under spinal anesthesia. A proximal femoral osteotomy was performed at the level of ischial tuberosity. The other distal femoral osteotomy was performed to lengthen and adjust the mechanical axis. Both these osteotomies were then stabilized with Ilizarov external fixator. The standard rate of distraction is 1 mm/day for lengthening. Results: There were 30 male patients and 15 were female patients with male to female ratio was 2:1. The mean ± SD between the ages was 23.69±7.80 years. Among all patients, 43 patients had pain relief and 41 patients of limb length discrepancy. Conclusion: By using the Ilizarov technique, we could prevent the valgus effects created by the valgus extension osteotomy while achieving lengthening of the femur through the distal osteotomy in the femur. It is an excellent technique for those patients who are not fit for total hip replacement.

PELVIC SUPPORT OSTEOTOMY WITH ILIZAROV METHOD; OUTCOME OF PELVIC SUPPORT OSTEOTOMY WITH ILIZAROV METHOD IN PATIENTS UNDERGOING GIRDLE STONE PROCEDURE