Maximum care must be taken during this delicate phase of treatment. The lengthened bone or limb recently healed of the fracture or pseudoarthrosis is still week and fragile for the first month or two after removal of the metallic structure.
For treatment of the lower limbs, initially crutch-assisted weight-bearing with a maximum weight of 7-9 kg is permitted; such load may be progressively increased, adding 1-2 additional kgs daily. Subsequently, total weight-bearing may be attempted after one month when the second radiographic follow-up examination after removal of the device is carried out.
In the case of upper limbs, the treated limb must be kept at rest; all physical activity must be avoided, as must accidental falls, or strong muscular contractions.
Brumel fu sottoposto al trattamento con la metodica di Ilizarov, riportò la guarigione dell’osteomielite e il ripristino della simmetria degli arti.