Tension is applied across the nonunion site using the Ilizarov device
to induce distraction neo-genesis.
Femoral derotation osteotomy and lengthening with use of an Ilizarov device
was performed first.
Early mobilisation of the ankle joint is another advantage of the Ilizarov device
. (20,21) In fractures caused by axial compression and no concomitant ligamentous instability, best results can be achieved by early mobilisation and partial weight bearing with fixator in situ.
However, other experimental methods, such as external fixation with an Ilizarov device
, have been employed with some success.
But to our knowledge, there are no published cases demonstrating its use in the setting of an infected tibial nonunion post-amputation, where the Ilizarov device simultaneously salvages stump length and fuses a nonunion.
At one month, the Ilizarov device was adjusted to promote stress about the nonunion site.
Although we report a successful outcome in this case, it is not to say that the use of the Ilizarov device is without setbacks.
In 1993 there were approximately 400 centers in the United States where an Ilizarov device
could be applied and at least 1500 surgeons trained to perform the procedure. Patients who may benefit from this procedure include children born with congenital limb defects such as club foot, accident victims with malunited fractures and those with bone abscesses (osteomyelitis) caused by infections.
This study has been aimed at making a retrospective and partly prospective analysis of the use of the Ilizarov device on a particular segment of the musculosceletal system that was applied at the Department of Orthopaedic Surgery and Traumatology in Novi Sad from January 2003 until September 2016.
In this study, the rate of complications was relatively low, although it must be taken into account that patients had undergone 2.3 operations on average (from 1 to 4) before the Ilizarov device was applied.
The Ilizarov device
is a modular construct consisting of 32 individual pieces that allows for 100s of possible configurations.
The treatment of tibial nonunion with angular deformity using an Ilizarov device
. J Trauma.