Ilizarov Method for Acute Paediatric Tibial Fractures

Area of Science:

• Orthopedic surgery
• Traumatology
• Skeletal reconstruction

Background:

• Ilizarov fixators are versatile external skeletal devices.
• Effective fracture reduction and alignment are crucial for optimal healing.
• Systematic approaches enhance surgical reproducibility and outcomes.

Purpose of the Study:

• To describe a systematic method for Ilizarov fixator application and on-table fracture reduction.
• To discuss the indications, principles, and rationale behind the described technique.
• To provide a guide for achieving multiplanar deformity correction.

Main Methods:

• Construction of concentric, colinear rings aligned with the limb's mechanical axis.
• Placement of an orthogonal ring block on the proximal segment, extending distally.
• Utilizing wire-to-ring reduction techniques for alignment and stability.

Main Results:

• Achieved on-table reduction and correction of multiplanar deformities.
• Enabled early full weight-bearing, free knee and ankle movement, and subsequent healing.
• Demonstrated the technique's efficacy without requiring expensive hexapod technology.

Conclusions:

• The described systematic method facilitates Ilizarov fixator application and on-table fracture reduction.
• This approach allows for correction of complex deformities with a potentially shorter learning curve.
• It offers a viable alternative for surgeons, particularly those with less experience.