Related Experiment Videos
The Ilizarov fixator in trauma: a 10-year experience
B Pavolini1, M Maritato, L Turelli
1Second Orthopaedic and Traumatology Unit, University of Florence, c/o C.T.O., L.go Palagi, 1, 50139 Florence, Italy.
Summary
The Ilizarov external fixator demonstrated excellent outcomes for 332 fractures, particularly tibial fractures, enabling early weight-bearing. This method is ideal for complex fractures including open, comminuted, intra-articular, and those with bone defects.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomedical Engineering
Background:
- The Ilizarov external fixator is a versatile device for fracture treatment.
- Assessing long-term clinical outcomes is crucial for understanding treatment efficacy.
Purpose of the Study:
- To retrospectively evaluate the clinical results of 332 fractures treated with the Ilizarov external fixator.
- To determine the optimal indications for Ilizarov external fixation.
Main Methods:
- Retrospective review of 332 fractures treated between 1984 and 1993.
- Evaluation using radiological and clinical rating systems.
- Involved bones included tibia, femur, humerus, forearm, and calcaneus.
Main Results:
- Excellent or good results were achieved in 71.1% of tibial fractures and 63.3% of tibial pylon fractures.
- 72% of femoral fractures showed excellent or good results, though knee stiffness was common.
- Forearm fractures commonly resulted in temporary elbow and wrist stiffness, resolved with physical therapy.
Conclusions:
- Ilizarov external fixation is best indicated for tibial fractures due to early weight-bearing advantages.
- It is also highly recommended for open, comminuted, intra-articular, and fractures with bony defects.