What are the Treatment Indications? An example of use of the Ilizarov external fixation device is for the treatment of serious cases of infection (osteomyletis), a common phenomenon after serious trauma to the limbs, for which no other form of treatment guarantees sure healing with complete anatomical and functional restoration. Such a technique may
In post-traumatic bone loss, is a bone graft carried out or is application of the fixation device sufficient? In cases of diaphyseal bone loss, the device is applied and the bone stumps are guided into contact with one another, then a surgical fracture is performed (osteotomy) in the "healthy" part of the bone. Function
By application of the Ilizarov device, is it possible to correct mal-consolidation without resorting to osteotomy? In cases of mal-consolidation due to deviation of the mechanical axis of diaphyseal fractures, or fractures adjacent to the joints, application of an expertly-applied fixation device and precisely and progressively-dosed distraction and compression forces can correct the axial
Can post-traumatic joint rigidity be resolved by use of the fixation device? With the Ilizarov technique, excellent lengthening is achieved of the capsular-ligamentous and muscular structures, not only in cases of acquired rigidity but also in cases of congenital rigidity since the aforesaid structures, when subjected to traction and gradually guided to correct function
With regard to the consequences of congenital deformities in the adult such as club foot, equine foot, or congenital cavo-varus foot. Is morphological and functional reintegration possible? The Ilizarov apparatus, made up of 25 components, poses various assembly options, like a child's erector set. Assembly of the apparatus for a case of club foot
What is the treatment technique for non-consolidated fractures (atrophic and hypertropic pseudoarthrosis)? The principle constituting the basis for the process of tissue regeneration is applied, eliminating the possibility of abnormal movement by means of stabilization. Therefore, by directing a load onto its axis, function favours nutrition of the bone. Fibro-chondroid tissue is replaced by
What does healing of bone infection (Osteomyelitis) mean? By healing, one means the definitive resolution of the infected nidus. Surgical cleaning of the infected nidus is performed as well as lengthening of the farthermost part from the infection site, without bone grafting. Everyone is familiar with the Brumel case (record man of the
