Ilizarov external fixator in foot and ankle reconstruction

Anton Plakseychuk, Dane K. Wukich

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Purpose of review: The Ilizarov external fixator and method were developed in the 1950s , but they continue to remain a point of interest owing to encouraging clinical outcomes. This review discusses recent advances in foot and ankle reconstructive surgery utilizing the Ilizarov methods for ankle fusions, calcaneal fractures, and osteoarthritis. Recent findings: Ankle arthrodesis utilizing an Ilizarov frame has been reported as a mainstay of surgical treatment for failed ankle fusions as well as in primary ankle arthrodesis. The advantages of external fixation include substantial interfragmentary compression combined with additional stability in cases with poor bone quality and questionable screw purchase. Another promising area is using the Ilizarov frame for the minimally invasive treatment of calcaneus fractures. The advantage of the Ilizarov frame over open reduction internal fixation techniques is the inability to restore bony anatomy in the presence of compromised soft tissues. In 2005, a study with a 7-year follow-up was published on the result of ankle joint distraction for osteoarthritis treatment. Although 27% of cases were failures and arthrodesis had to be performed, 73% of patients showed significant improvement in all parameters. The underlying mechanism of the clinical benefit obtained remains unclear. Summary: The treatment of foot and ankle disorders with the Ilizarov method continues to evolve, with further advancements in frames and techniques reported in the growing body of published literature.

Original languageEnglish (US)
Pages (from-to)124-128
Number of pages5
JournalCurrent Opinion in Orthopaedics
Volume17
Issue number2
DOIs
StatePublished - Apr 1 2006

Fingerprint

External Fixators
Ankle
Foot
Arthrodesis
Ilizarov Technique
Osteoarthritis
Reconstructive Surgical Procedures
Calcaneus
Ankle Joint
Therapeutics
Anatomy
Bone and Bones

Keywords

  • Foot and ankle reconstructive surgery
  • Ilizarov method

ASJC Scopus subject areas

  • Surgery

Cite this

Ilizarov external fixator in foot and ankle reconstruction. / Plakseychuk, Anton; Wukich, Dane K.

In: Current Opinion in Orthopaedics, Vol. 17, No. 2, 01.04.2006, p. 124-128.

Research output: Contribution to journalReview article

@article{bc176de7301740129de0ca87ebe57444,
title = "Ilizarov external fixator in foot and ankle reconstruction",
abstract = "Purpose of review: The Ilizarov external fixator and method were developed in the 1950s , but they continue to remain a point of interest owing to encouraging clinical outcomes. This review discusses recent advances in foot and ankle reconstructive surgery utilizing the Ilizarov methods for ankle fusions, calcaneal fractures, and osteoarthritis. Recent findings: Ankle arthrodesis utilizing an Ilizarov frame has been reported as a mainstay of surgical treatment for failed ankle fusions as well as in primary ankle arthrodesis. The advantages of external fixation include substantial interfragmentary compression combined with additional stability in cases with poor bone quality and questionable screw purchase. Another promising area is using the Ilizarov frame for the minimally invasive treatment of calcaneus fractures. The advantage of the Ilizarov frame over open reduction internal fixation techniques is the inability to restore bony anatomy in the presence of compromised soft tissues. In 2005, a study with a 7-year follow-up was published on the result of ankle joint distraction for osteoarthritis treatment. Although 27{\%} of cases were failures and arthrodesis had to be performed, 73{\%} of patients showed significant improvement in all parameters. The underlying mechanism of the clinical benefit obtained remains unclear. Summary: The treatment of foot and ankle disorders with the Ilizarov method continues to evolve, with further advancements in frames and techniques reported in the growing body of published literature.",
keywords = "Foot and ankle reconstructive surgery, Ilizarov method",
author = "Anton Plakseychuk and Wukich, {Dane K.}",
year = "2006",
month = "4",
day = "1",
doi = "10.1097/01.bco.0000192880.76823.d3",
language = "English (US)",
volume = "17",
pages = "124--128",
journal = "Current Orthopaedic Practice",
issn = "1940-7041",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Ilizarov external fixator in foot and ankle reconstruction

AU - Plakseychuk, Anton

AU - Wukich, Dane K.

PY - 2006/4/1

Y1 - 2006/4/1

N2 - Purpose of review: The Ilizarov external fixator and method were developed in the 1950s , but they continue to remain a point of interest owing to encouraging clinical outcomes. This review discusses recent advances in foot and ankle reconstructive surgery utilizing the Ilizarov methods for ankle fusions, calcaneal fractures, and osteoarthritis. Recent findings: Ankle arthrodesis utilizing an Ilizarov frame has been reported as a mainstay of surgical treatment for failed ankle fusions as well as in primary ankle arthrodesis. The advantages of external fixation include substantial interfragmentary compression combined with additional stability in cases with poor bone quality and questionable screw purchase. Another promising area is using the Ilizarov frame for the minimally invasive treatment of calcaneus fractures. The advantage of the Ilizarov frame over open reduction internal fixation techniques is the inability to restore bony anatomy in the presence of compromised soft tissues. In 2005, a study with a 7-year follow-up was published on the result of ankle joint distraction for osteoarthritis treatment. Although 27% of cases were failures and arthrodesis had to be performed, 73% of patients showed significant improvement in all parameters. The underlying mechanism of the clinical benefit obtained remains unclear. Summary: The treatment of foot and ankle disorders with the Ilizarov method continues to evolve, with further advancements in frames and techniques reported in the growing body of published literature.

AB - Purpose of review: The Ilizarov external fixator and method were developed in the 1950s , but they continue to remain a point of interest owing to encouraging clinical outcomes. This review discusses recent advances in foot and ankle reconstructive surgery utilizing the Ilizarov methods for ankle fusions, calcaneal fractures, and osteoarthritis. Recent findings: Ankle arthrodesis utilizing an Ilizarov frame has been reported as a mainstay of surgical treatment for failed ankle fusions as well as in primary ankle arthrodesis. The advantages of external fixation include substantial interfragmentary compression combined with additional stability in cases with poor bone quality and questionable screw purchase. Another promising area is using the Ilizarov frame for the minimally invasive treatment of calcaneus fractures. The advantage of the Ilizarov frame over open reduction internal fixation techniques is the inability to restore bony anatomy in the presence of compromised soft tissues. In 2005, a study with a 7-year follow-up was published on the result of ankle joint distraction for osteoarthritis treatment. Although 27% of cases were failures and arthrodesis had to be performed, 73% of patients showed significant improvement in all parameters. The underlying mechanism of the clinical benefit obtained remains unclear. Summary: The treatment of foot and ankle disorders with the Ilizarov method continues to evolve, with further advancements in frames and techniques reported in the growing body of published literature.

KW - Foot and ankle reconstructive surgery

KW - Ilizarov method

UR - http://www.scopus.com/inward/record.url?scp=33646073135&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646073135&partnerID=8YFLogxK

U2 - 10.1097/01.bco.0000192880.76823.d3

DO - 10.1097/01.bco.0000192880.76823.d3

M3 - Review article

AN - SCOPUS:33646073135

VL - 17

SP - 124

EP - 128

JO - Current Orthopaedic Practice

JF - Current Orthopaedic Practice

SN - 1940-7041

IS - 2

ER -