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Abstract The problem of complex musculoskeletal deformities of the extremities in children continues to be a challenge to orthopaedic surgeons The correction of such deformities often requires simultaneous lengthening, angular correction , rotation, and translocation. Correction of complex limb deformities may require multiple operations leading to disturbance in the child’s life during an active and important period of developmentS The Ilizarov system comprises a modular ring external fixator that may be assembled in various configurations for specific clinical situations. The Ilizarov system allows for simultaneous correction of multiplanar and multidirectional deformities, as well as correction of limb length discrepancies The purpose of this study was to determine the clinical, radiologic, psychologic, and functional results of a group of patients with complex muscioskeletal deformities treated by the Ilizarov method. We also wanted to determine the effects of age and diagnosis on the outcomes. We reviewed 50 children (69 limb segments) with complex deformities of the lower extremities who treated by the Ilizarov technique A complex deformity was defined as patients with either more than one deformity in the same limb (leg length discrepancy in addition to other deformity(ies) whether angular, rotational, or translocational) or patients with foot deformity who required multiplanar and multidirectional correctionS |