Distortion of the axis and shortening of the limbs result in multiple musculoskeletal pathologies. Rotation disorders should also be included among the disorders of the axis of the lower limb. In the case of rotational distortion, only derotation osteotomy can effectively correct torsion-associated deformations. Rotational distortion correction is accompanied by translational displacement and t...

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...

Managing a segmental skeletal defect is a challenge, even more so if the combination of local infection with bone defect exacerbates the problem and provides an even more negative prognosis. Several techniques have been tried, among which skeletal allografts, autologous cortical or cancellous bone graft and vascularised bone graft, each with its limitation and success. In this study, we report ...

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 ...

BACKGROUND In dislocated proximal tibial fractures, the most frequently used treatment is ORIF with screws and plates. Minimally-invasive techniques using external fixation are an alternative. The aim of this study was to analyse the clinical and radiological results using the Ilizarov technique in both uni- and bicondylar tibial fractures. METHODS Thirty consecutive patients with isolated fr...

Distal tibial and fibular fractures, particularly in patients with comorbidities, heal slowly and have a high incidence of postoperative nonunion and infection. Autologous concentrated bone marrow aspirate (cBMA) and platelet-rich plasma (PRP) increase osteogenic potential of demineralized bone matrix (DBM). The purpose of this case series was to evaluate the efficacy of cBMA, PRP, DBM in conju...

This study was performed to evaluate the results of 14 years of application of Ilizarov method in treatment of infected non-unions of tibia and femur in patients with severe trauma and battlefield wounds. Seventeen patients with long bone nonunion (14 were with infected nonunion of tibia out of whom two were associated with tibial bone defects and 3 with infected non-union of femur) were admitt...

BACKGROUND AND PURPOSE Ilizarov's technique and intramedullary rodding have often been used individually in congenital pseudarthrosis of the tibia. In this series, we attempted to combine the advantages of both methods while minimizing the complications. METHODS We reviewed 15 cases of congenital pseudoarthrosis of the tibia (CPT) who were treated with a combination of Ilizarov's apparatus an...