Biomaterial Database

Ilizarov external fixation in the treatment of comminuted leg fractures. 1999

S Gagliardi, and I Gualtieri, and G Gualtieri

Divisione di Ortopedia e Traumatologia, Ospedale M. Bufalini, Cesena.

Fifty consecutive comminuted leg fractures were treated by Ilizarov external fixation. Eleven were closed fractures, 37 were Grade II, and 2 were Grade III open fractures. Forty-five fractures healed within 6 months. In 5 fractures the Ilizarov device was removed and healing occurred by intramedullary nailing (2 cases) and decortication (3 cases). The causes of failure were: rapid peroneal union or bone fragment necrosis. Subjective tolerance and fracture stability are limited by septic loosening of the wires requiring frame removal after 6 to 8 months. Excellent results may be obtained (no leg length discrepancy, no angulation, no rotation, no joint stiffness), but the time required for union is long and additional surgery is required.

UI	MeSH Term	Description	Entries
D007867	Leg Bones	The bones of the free part of the lower extremity in humans and of any of the four extremities in animals. It includes the PATELLA; TIBIA; and FIBULA.	Bones of Leg,Bone, Leg,Bones, Leg,Leg Bone
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293	Adolescent	A person 13 to 18 years of age.	Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D018460	Fractures, Comminuted	A fracture in which the bone is splintered or crushed into a number of pieces.	Comminuted Fracture,Comminuted Fractures,Fracture, Comminuted
D018889	Ilizarov Technique	A bone fixation technique using an external fixator (FIXATORS, EXTERNAL) for lengthening limbs, correcting pseudarthroses and other deformities, and assisting the healing of otherwise hopeless traumatic or pathological fractures and infections, such as chronic osteomyelitis. The method was devised by the Russian orthopedic surgeon Gavriil Abramovich Ilizarov (1921-1992). (From Bull Hosp Jt Dis 1992 Summer;52(1):1)	Ilizarov Method,Ilizarov Technic,Method, Ilizarov,Technic, Ilizarov,Technique, Ilizarov

Related Publications

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[Treatment of open comminuted and multiple fractures of the lower leg using the Ilizarov fixation method].

January 1989, Acta chirurgica Iugoslavica,

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Ilizarov external fixation for severely comminuted supracondylar and intercondylar fractures of the distal femur.

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Ilizarov external fixation for severely comminuted supracondylar and intercondylar fractures of the distal femur.

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External fixation versus traditional treatment for comminuted Colles fractures.

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[Treatment of leg fractures by Hoffmann's external fixation].

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A retrospective analysis of comminuted intra-articular fractures of the tibial plafond: Open reduction and internal fixation versus external Ilizarov fixation.

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