The Ilizarov fixator provides efficient treatment for some of the most baffling conditions in orthopedic practice such as gap and infected nonunion of the tibia (14). Tibial non-unions are challenging to treat and are further complicated by bone loss 15 and infection. 16 The Ilizarov technique of distraction histogenesis allows removal of infected bone segments, stabilization, better chances of consolidation, and maintenance of limb length as well. It also allows joint function and thereby it is encouraged and started within few days of frame application. 17 The Ilizarov frame's adaptability to axial loading and resistance to torsional and bending forces further helps in achieving a limb that has fewer deformities and normal strength and range of motion. 1 , 2 In the presence of infection, caution is recommended in the use of both internal fixation and bone grafting. 18 Bose et al reported on 67 long-bone infected nonunions and noted that infection recurrence was significantly higher in the patients treated with internal fixation compared with those managed by external fixation. 2 The management of infected nonunion of the tibia is challenging, particularly with segmental bone loss, multiple draining sinuses, poor soft tissue cover, osteopenia, adjacent joint stiffness, limb deformity, or multidrug-resistant polymicrobial infection. 1,2 Permanent functional deficits, prolonged recovery times, and even amputation can result. 3 Despite acceptance of open fracture management guidelines, advances in implant design, and less traumatic surgical techniques, infection is still common after open fracture (9.3%–18%). 4–8 Studies have demonstrated financial costs to be 2 to 3 times higher for infected fractures compared with cases uncomplicated by infection. 9,10 Every frame is unique, and is made up from a wide choice of components which are connected to your bone with wires and pins. Sometimes the frame crosses the knee or foot.

WATER-REPELLENT FINISH – We understand the importance of wanting to get going as your recovery process gets further along, that is why the SOLACE BRACING Breathable Ilizarov Frame Cover has a water-repellent finish, allowing the frame and inserted pins to be protected further from external water-based elements. Littlewood, Rebecca. "The Benefits and Risks of the Ilizarov Technique for Limb Reconstruction" (PDF). Oxford University Hospitals . Retrieved April 15, 2023.

This system helps provide a structural support to the limb and holds the broken bone fragments together so healing can take place over a period of time. It may be necessary to have this frame on your limb for a number of months. We present a treatment algorithm comprising 4 Ilizarov methods in managing infected tibial nonunion, using nonunion mobility and segmental defect size to govern treatment choice. Design: We defined failure of treatment as (1) recurrent infection with positive cultures from further radiologically guided aspiration or biopsy; (2) recurrent sinus formation; (3) further surgery performed for infection; or (4) any patient requiring long-term antibiotic treatment for persistent symptoms. RESULTS

Y, Karamehmetoğlu M, Karadeniz H, Azboy I, Caniklioğlu M. Acute treatment of segmental tibial fractures with the Ilizarov method. Injury. 2009;40(3):321–6. Bianchi Maiocchi A, Aronson J. Operative principles of Ilizaov fracture treatment, no union, osteomyelitis, lengthening, deformity correction. Baltimore: Williams & Williams; 1991. Twenty-six cases were treated with monofocal distraction, 19 with monofocal compression, 16 with bifocal compression/distraction, and 18 with bone transport. Main Outcome Measurements: loose wires or pins on your frame. Do not try any modifications yourself or let anyone else do this.

Korobeinikov AA, Aranovich AM, Popkov DA. Ilizarov National Medical Research Centre for Traumatology and Orthopedics, Kurgan, Russia. Ilizarov GA. The tension stress effect on the genesis and growth of tissues: II: the influence of rate and frequency of distraction. Clin Orthop. 1990;239:263–84.

To control your movement, your Occupational Therapist may provide you with equipment which gives a sturdy hand-hold, or you can place your hands on the toilet bowl itself for support. Ilizarov GA. The tension stress effect on the genesis and growth of tissues: I: the influence of stability of fixation and soft tissue preservation. Clin Orthop. 1989;238:249–80. Three of the cases in the compression group were associated with reinfection (see the Infection Recurrence section above). Two of these cases were treated successfully with revision debridement and frame fixation, and the other underwent amputation.

Do not drive a car or apply ointments or creams to the limb that has the frame on unless instructed by your doctor or nurse. Taking care of your frame Continue to move about and do any exercises given to you by our physiotherapist. Exercise encourages bone growth. Use any walking aides as prescribed by your surgeon. The primary outcome measure was the absence of recurrent infection. Secondary outcomes included bone union, complications, the Association for the Advancement of Methods of Ilizarov (ASAMI) bone and functional classification scores, and any need for further unplanned surgery. Results: It will take you some time to adjust to the practicalities of living with the frame by making adjustments to clothing, your sleeping position and daily activities. Before you go home we will make sure you know how to look after your frame and signs of any complications that you need to look out for. How do I prepare for the frame? Ilizarov frames can also be used when treating infections in bones. The type of frame used depends on what limb is being treated.

a b c d e f Spiegelberg B, Parratt T, Dheerendra SK, Khan WS, Jennings R, Marsh DR (2010). "Ilizarov Principles of Deformity Correction". Annals of the Royal College of Surgeons of England. 92 (2): 101–5. doi: 10.1308/003588410X12518836439326. PMC 3025247. PMID 20353638.

Highest Rated in Leg & Foot Supports

Eighteen year-old male with open tibial fracture. Initially treated with intramedullary nail but early wound healing problems. Two months later radiograph shows no sign of progression towards union (A) and large discharging sinus (B). Non-viable bone found during surgery and treated with 4 cm segmental excision, bifocal compression distraction and free gracilis muscle flap, which is seen here at 5 weeks post-op (C). Lateral tibial radiograph at 5 weeks shows completed proximal distraction (D). Total frame time 5.5 months. Radiograph (E) and clinical photograph (F) taken after frame removal, 6.5 months after frame application.