Ilizarov Basics for the Trauma Surgeon: Building a Frame for Fractures and Treating Until Successful Union

Circular external fixation provides trauma surgeons with a powerful and versatile tool in the management of complex fractures. It is particularly valuable when internal fixation is not feasible because of soft tissue compromise, active infection, or extensive bone loss. This article outlines the fundamental principles of the Ilizarov method with a practical focus on biomechanical rationale, frame construction techniques, and postoperative care essential to achieving successful union. Integrating clinical experience and recent literature, this guide promotes broader application of circular fixation in both acute trauma and limb salvage settings.