Dr Amar Soni

11/09/2025

Salvaging non Salvageable- 15 cm bone gap - single vessel limb - limb salvaged with Ilizarov method

22/08/2025

M/17 year
Elsewhere treated
4 months post injury
Missed fracture neck Femur
Ipsilateral 33 A injury treated with DFLCP.

Ipsilateral upper third Tibia fracture with bone loss- treated with TOF- Tibialisation of Fibula with Hybrid external Fixator with Equinus foot.

Pt approached me for Tibia fracture- for missed neck injury- suggested THR elsewhere.
As proximal Femur had space constraints and with intent of early mobilization ( ipsilateral Tibial Ilizarov) I did Valgus Osteotomy and applied frame- removed at 8 weeks and applied cc screws
At 9 months follow up -
Neck fracture united
Osteotomy healed
Transport in Tibia over -
Walks full weight bearing
Regenerate consolidation awaited.
Hip joint space reduced - so far not symptomatic- in future would be candidate for THR

07/08/2025

Sharing a case
- Paediatric non union neck fracture-
Initially treated elsewhere- neck fracture probably not fixed due to associated issues
- Did Valgus Osteotomy and fixation

06/08/2025

Sharing a case
High velocity injury
Delayed Surgery-
Implant removal done at 12 months

05/08/2025

Salvaging non Salvageable Sharing a case -
Diabetic foot with Equinus Varus
Non Healing Ulcer
Peripheral Neuropathy
Peripheral Vascular Disease

Limb Salvaged with Ilizarov
Transverse Tibial Distraction
Deformity correction

Ulcer healed, foot plant grade, Gait improved- no recurrence 6 months post frame removal.

05/07/2025

• M/35 year
⁃ Labor- Fall from second floor- construction site

• Gr I segmental comminuted Subtrochanter fr
⁃ Associated ipsilateral posterior wall and contra lateral Pelvic injury LC I - to be treated conservatively.
⁃ Mild free fluid in abdomen

• Operated on third day-
⁃ Close reduction and Cephalomedullary nailing done. Sigma- 11 x 40

• A 6 mm half pin used to correct Varus- Abduction, Flexion of proximal fragment.
⁃ Proximal fragment reamed with solid reamer followed by flexible power reamer pushed manually in distal fragment and then distal fragment reamed.


• General dictum in Subtrochanter fracture- long oblique/ spiral/ butterfly piece (where one converts three part fracture in two part fracture with cerclage)- is to REDUCE FIRST followed by nail insertion- as nail per se is not reduction device.
⁃ Here ALSO in beginning- segmental comminution ignored and focus was on Reduction of Proximal fragment- correct deforming forces on proximal fragment F- Ab-ER - achieved adequate valgus - length and rotational alignment and comminution part addressed post nail insertion.

• Post nail and proximal screw insertion a pointed reduction inserted from locking bolt site and braided Synthesh cerclage used to hold middle comminution in place. Unfortunately while tightening it broke very near its first knot.
⁃ I was not sure, how long it will hold, so thought of inserting another cerclage- which I usually avoid- so incision extended and did second cerclage.
• Distraction corrected with release of traction.

01/07/2025

Sharing a case
Blunt reamer used to achieve positive medial cortical support
2 x 2.5 mm Pins percutaneously for provisional fixation

30/06/2025

15/06/2025

Hello everyone,
Today, June 15th, marks the birth anniversary of the legendary surgeon, Gavril Abramovich Ilizarov, born in 1921 in Belovezh, Belarus.
As a Limb Reconstruction & Ilizarov surgeon, I pay tribute to his groundbreaking work.
His invention of the Ilizarov apparatus and principle of distraction osteogenesis in 1950 revolutionized limb reconstruction, transforming millions of lives worldwide.
Although this technique was largely confined to the Soviet Union for three decades, it eventually spread globally, reaching India in the 1990s.
In the West, these days, most deformity correction and lengthening are performed with internal fixation, but in our country, one aspect that needs some consideration is, in the context of high-velocity open fracture and its sequels :
Ilizarov technique has tremendous potential to salvage seemingly non-salvageable limbs, overall awareness about the technique is very low, even among orthopaedic trauma surgeons, probably because they may not have witnessed the outcome of carefully executed Ilizarov limb salvage and hence many patients with complex limb injuries are being subjected to Amputation or given such advice.
I urge young orthopedic surgeons aiming to build a career in trauma surgery to learn this method, which can help avoid many such amputations.
To patients with complex limb injuries who have been advised amputation, I appeal: explore limb salvage options and consult a skilled Ilizarov surgeon before making a decision.
I extend heartfelt gratitude to Professor Ilizarov, whose work has transformed countless lives worldwide.”

07/06/2025

*🔷 ASAMI INDIA ACADEMICS*
*🍳 Sunday Breakfast Case Discussions*

*📅 Date:* 8th June, 2025 (Sunday)
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01/04/2025

Dear friends,
It gives me immense pleasure in sharing this milestone- my Daughter Prutha passed today her Final MBBS examination from NHL Medical College Amdavad.
From playing in my lap to becoming Dr Prutha - the journey was fascinating.
Congratulations Dear Prutha on becoming Dr Prutha today.
Wishing you bright future ahead
Stay blessed dear. ❤️🫂