The Ilizarov fixator in trauma: a 10-year experience

Pavolini, B; Maritato, Merildo; Turelli, Luca; D’Arienzo, Michele

doi:10.1007/s007760050137

Cited by 41 publications

(21 citation statements)

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“…None of the above mentioned techniques afford the surgeon the ability to correct deformities, eliminate prolonged preoperative and postoperative antibiotic therapy, regenerate new bone without the use of bone graft, progressively lengthen the extremity, transport internal bone for filling the defect, and allow weight bearing during the treatment period simultaneously. This study and many other studies confirm that all of these capabilities are possible with application of the Ilizarov ring external fixator [3,12,14,15,21].…”

Section: Discussionsupporting

confidence: 67%

The Ilizarov Ring External Fixator in Complex Open Fractures of the Tibia

Hasankhani

Payvandi²,

Birjandinejad

2006

Eur J Trauma

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Introduction: Complex open fracture of the tibia particularly with bone defect and infection is one of the major problems in orthopedic surgery. There are many available alternatives in the management of these fractures. Aim: The purpose of this study is to evaluate the results and efficacy of the Ilizarov ring external fixator in treating complex open fractures of the tibia. Materials and Methods: We treated 25 patients with complex open fracture of the tibia using the Ilizarov ring external fixator between March 1999 and February 2002.The open fractures were type IIIA, type IIIB , and type IIIC in 19, 9, and 4 patients, respectively. There were 11 patients with bone loss ranging from 3 to 9 cm (average bone loss 5 cm), and 10 patients with infection. There were 11 one-level tibial transports, 5 bone graftings at the docking site, 6 internal fixations with bone grafting because of pin tract infection. Results: Results were divided into bone and functional categories [according to the association for the study and application of the method of Ilizarov (ASAMI) classification]. The bony results were excellent in 18 patients (56.2%), good in 4 (12.5%), fair in 3 (9.4%), and poor in 7 (21.9 %). The functional results were excellent in 7 (21.9%) patients, good in 14 (43.7%), fair in 4 (12.5%), and poor in 7 (21.9%). Conclusion: The Ilizarov ring external fixator is an effective a salvage procedure in the treatment of complex open fractures of the tibia as it allows for the simultaneous treatment of bone loss, infection, non-union, and deformity.

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Section: Discussionsupporting

confidence: 67%

The Ilizarov Ring External Fixator in Complex Open Fractures of the Tibia

Hasankhani

Payvandi²,

Birjandinejad

2006

Eur J Trauma

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“…Distraction alone, particularly with the use of external fixation, carries the potential for the development of arthrofibrosis, which can be deleterious to joint reconstruction 25,26 . Early joint motion allows decreased accumulation of periarticular interstitial fluid and helps to maintain normal soft-tissue compliance around the joint, thus decreasing the potential for arthrofibrosis [27][28][29][30] .…”

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confidence: 99%

Motion Versus Fixed Distraction of the Joint in the Treatment of Ankle Osteoarthritis

Saltzman

Hillis

Stolley

et al. 2012

Journal of Bone and Joint Surgery

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“…Bone grafting and plating would b precluded if infection were suspected in an atrophic non-union. Ilizarov treatment with bone transport is a viable option for treatment of both atrophic non-unions and bone loss in the forearm [6,12,13,18].…”

Section: Discussionmentioning

confidence: 99%

“…This technique is useful in dealing with traumatic bone loss in the forearm resulting from high-energy trauma or non-union with infection [12]. Ilizarov methodology provides stable fixation without implantation of permanent foreign bodies.…”

Section: Discussionmentioning

confidence: 99%

Treatment of traumatic forearm bone loss with Ilizarov ring fixation and bone transport

Smith

Elbatrawy²,

Andreassen

et al. 2006

International Orthopaedics (SICOT)

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Bone loss in the forearm results from highenergy trauma or follows non-union with infection. Ilizarov methodology provides stable fixation without implantation of permanent foreign bodies while permitting wrist and elbow movement. We are reporting our experience using distraction osteogenesis in the treatment of traumatic bone loss in the forearm. From 1991 to 2000, 11 consecutive patients with traumatic forearm bone loss were treated with Ilizarov ring fixation. Records were reviewed retrospectively. All patients were contacted 2-10 years after surgery at the Ilizarov Clinic in Lecco, Italy. Eleven atrophic nonunions with bone loss were treated. The time from injury to Ilizarov treatment averaged 2.1 years. Follow-up averaged 6.2 years. The union rate with Ilizarov treatment alone was 64%. Thirty-six percent of the patients were converted to a hypertrophic non-union and underwent compression plating. The overall rate of union was 100%. There were four unplanned reoperations and no refractures, neurovascular injuries or deep infections. Three patients had significant limitations of wrist function. Nine patients described their function as excellent. Ilizarov fixation with bone transport is a viable treatment option for atrophic forearm non-unions with bone loss. Treatment resulted in ablation of infection, healing of atrophic non-unions with minimal complications and early extremity use.Résumé Les pertes de substance osseuses à l'avant-bras résultent d'un traumatisme à haute énergie ou d'une pseudarthrose septique. La méthode d'Ilizarov avec transport osseux donne une fixation stable permettant une mobilisation du poignet et du coude sans implantation permanente de matériel. De 1991 à 2000 11 patients consécutifs présentant une pseudarthrose atrophique avec perte de substance osseuse de l'avant-bras ont été traité ainsi et revus rétrospectivement 2 à 10 ans après. Le délai entre le traumatisme et le traitement étudié était en moyenne de 2,1 ans et le suivi moyen de 6,2 ans. Il y avait

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The Ilizarov fixator in trauma: a 10-year experience

Cited by 41 publications

References 1 publication

The Ilizarov Ring External Fixator in Complex Open Fractures of the Tibia

The Ilizarov Ring External Fixator in Complex Open Fractures of the Tibia

Motion Versus Fixed Distraction of the Joint in the Treatment of Ankle Osteoarthritis

Treatment of traumatic forearm bone loss with Ilizarov ring fixation and bone transport

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