Tibial defects greater than 4 cm and secondary to high-energy trauma or debridement for infected nonunion pose a significant challenge to the treating orthopaedic surgeon. Twelve patients who had been treated with Ilizarov bone transport for tibial defects over the past ten years were retrospectively reviewed. All patients were male with an average age of thirty-two. Ten of the twelve limbs wer...

This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I-TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I-TSF were compared with 25 patients treated with a conventional circular frame. In the ...

OBJECTIVE To determine the sources and magnitude of residual morbidity after successful treatment of tibial nonunion using the Ilizarov device and techniques. DESIGN A retrospective cohort study. SETTING A level 1 trauma centre. PATIENTS Sixteen patients with healed tibial nonunion. INTERVENTION Application of the Ilizarov device and techniques to obtain union of a previous ununited tib...

The study describes a computational approach for predicting the mechanical response of different configurations of the Ilizarov external fixation system. The Ilizarov type fixators are now being used to an increasing extend to stabilize bone fractures and for limb lengthtening [5,6] and its functions are investigated using numerical [e.g. 3,7] and experimental [e.g. 1,2] techniques. The device ...

One of the applications of the Ilizarov apparatus is the correction of congenital shortening and deformities. Ilizarov external fixator produces biomechanical structure with surrounding tissue, which is the reason why very important is correct stability of fixator. Large distraction in the case of high value of lengthening, and large deformity corection result in shear stresses that occur addit...

We treated 24 patients with high-energy fractures of the tibial plateau by the Ilizarov fixator and transfixion wires. Eleven fractures were open, and 20 patients had complex injuries. Twelve were treated by ligamentotaxis and percutaneous fixation, seven by limited open reduction and five by extensive open reduction. All were followed for at least 24 months. All the fractures united, with an a...

This study was conducted to assess the safety of humeral lengthening using an Ilizarov frame. We retrospectively reviewed 26 humeral segments in 17 patients that were lengthened at our department between 1993 and 2011. There were varying aetiologies including achondroplasia, epiphyseal dysplasia, Oilier disease, trauma or infection of the proximal humeral growth-plate, unicameral bone cyst and ...

BACKGROUND Ankle arthrodesis may be achieved using the Ilizarov method. Comorbidities, such as diabetes, Charcot neuroarthropathy, osteomyelitis, leg length discrepancy, and smoking, can make an ankle fusion complex and may be associated with lower rates of healing. QUESTIONS/PURPOSES We asked if (1) smoking and other comorbidities led to lower fusion rates, (2) time wearing the frame affecte...

To analyse fracture healing repeated X-rays are needed increasing the problem of radiation. Though already Electric Current is used widely in therapeutic aspect to accelerate fracture healing, only recently it has been tried as a diagnostic tool in assessing fracture healing. To study conduction across a fracture the first step is to devise a suitable simulated structural support for fracture i...

Instability of the hip joint in the young adult is a difficult problem. Patients with an unstable hip secondary to any aetiology usually have loss of bone from the proximal femur or shortening of the limb or both. In this study we report our results in the treatment of the unstable hip joint in young adults by pelvic support osteotomy using the Ilizarov method. From 1997 to 2004, 25 patients (1...