Closed Tibial shaft fractures treated with the Ilizarov method: A ten year case series

May, Jonathan David; Paavana, Thumri; McGregor-Riley, J; Royston, Simon

doi:10.1016/j.injury.2017.05.019

Cited by 9 publications

(11 citation statements)

References 17 publications

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“…Ilizarov external fixator allows the surgeon to correct malalignment while the fracture is undergoing union. Dickson et al found malunion in 5.7% patients treated with Ilizarov [24] . In long term follow-ups after tibial fractures there is no evidence that the malalignment of the lower limb will lead to any restriction of motion, pain or osteoarthrosis of knee and ankle even with an angulation of upto 15 degree [36,37,38] .…”

Section: Discussionmentioning

confidence: 97%

“…Ilizarov method is a highly versatile technique applicable in number of clinical situations [23] It is a safe and effective treatment modality for tibial fractures [24] . Hosney and Fadel achieved union in all the 34 open tibial fractures managed by Ilizarov fixator [25] .…”

Section: Discussionmentioning

confidence: 99%

“…Good care of pin sites and aggressive management of superficial infections is essential to prevent deep infection. Pin site infection results in wire loosening and often requiring change of wires [24] . Insufficient pin care has been associated with higher incidence of pin-tract complications [24] .…”

Section: Discussionmentioning

confidence: 99%

“…Pin site infection results in wire loosening and often requiring change of wires [24] . Insufficient pin care has been associated with higher incidence of pin-tract complications [24] . Use of half pins results in half the number of sites of soft tissue transfixation which can decrease the number of pin site and soft tissue complications and can potentially improve the comfort of patient and the tolerance to treatment.…”

Section: Discussionmentioning

confidence: 99%

“…When using the Ilizarov technique some tethering of muscles and tendons is inevitable and this would theoretically affect the ROM of knee and ankle [34] . Muscle contracture and joint stiffness are significant problems especially seen in patients when fixator is applied for longer periods or fracture is near the joint [24] . Patient education and early range of motion activities is a must to avoid problems of stiffness.…”

Section: Discussionmentioning

confidence: 99%

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Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

Dwivedi¹,

Rathva²,

Patel³

2017

Int. J. Orthop. Sci.

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Introduction: Tibia shaft fractures can be treated with various modes, each having its merits and demerits. The aim of our study was to analyze clinical outcome of Ilizarov technique in patients with tibia shaft fracture. Method: 50 patients with isolated tibia shaft fracture treated with Ilizarov external fixator were followed prospectively for one year. Depending upon the level of fracture 4 or 5 rings were used. Weight bearing as per patient pain tolerance was allowed within 24 to 48 hours. The decision of frame removal was taken based on Ramos criteria. The function was evaluated based on Johner and Wruh's criteria. Results: According to Johner and Wruh's criteria, 34 patients had excellent, 12 patients had good and 4 patients had fair results. No poor results were noted. There was no case of re-operation and re-fracture. Pin-site infections were seen in 14% cases but there were no deep infections. Conclusion: Ilizarov technique can be used as an early definitive management in tibia shaft fractures with excellent clinical outcome.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

Dwivedi¹,

Rathva²,

Patel³

2017

Int. J. Orthop. Sci.

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Functional outcome and complications after treatment of comminuted tibial fractures or deformities using Ilizarov bone transport: a single-center study at 15- to 30-year follow-up

Biz

Crimì

Fantoni

et al. 2020

Arch Orthop Trauma Surg

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Introduction The aim of this retrospective study was to evaluate long-term outcomes and complications of a single-center and single-surgeon patient series of isolated and comminuted tibial fractures with bone defects or tibial deformities treated by Ilizarov bone transport. Materials and methods Data from a consecutive series of patients with isolated comminuted tibial fractures (Fracture Group: FG) or deformities (Deformity Group: DG) treated between 1987 and 2002 were included. For clinical assessment, the Lower Extremities Functional Scale was used; complications were recorded according to the Dindo classification and statistical analysis was performed. Results Overall, 72 patients were enrolled with a mean follow-up of 21.6 years (range 15-30) a mean LEFS of 36.4 (range 0-100). In the FG, the mean LEFS was 21.3 (range 0-98.75), and the external fixation time (EFT) lasted 7.6 months (range 3-18 months) months. In the DG, the mean LEFS was 76.7 (range 55-100), and the EFT was 10.6 months (range 3-20 months). Between the two groups, the clinical evaluation was significantly different, while the EFT was not (p = 0.14). In the FG, the worst results were obtained in the cases of open fractures with a higher percentage of complications and the need for further surgical procedures. The cumulative rate of complications was 55.6% during the first 36 months and 66.7% at the minimum follow-up of 180 months. Conclusions Ilizarov bone transport, even at a long follow-up period, proved to be an effective technique for both definitive treatment of comminuted tibial fractures with bone defects or tibial deformities. Although our functional outcomes were lower in patients with exposed fractures, they were in line with the literature, but not influenced by the EFT when properly managed. Most complications occurred during the first 3 years; however, they could also arise much later, even until almost 30 years.

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Comparative Outcome of Hybrid External Fixator Versus Primary Ilizarov Fixator in the Treatment of Open Distal Tibia Extra-Articular Fractures

Borah

Patowary

Das

et al. 2022

JOIO

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Closed Tibial shaft fractures treated with the Ilizarov method: A ten year case series

Cited by 9 publications

References 17 publications

Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

Functional outcome and complications after treatment of comminuted tibial fractures or deformities using Ilizarov bone transport: a single-center study at 15- to 30-year follow-up

Comparative Outcome of Hybrid External Fixator Versus Primary Ilizarov Fixator in the Treatment of Open Distal Tibia Extra-Articular Fractures

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