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Ilizarov Method for Acute Paediatric Tibial Fractures
AIM AND BACKGROUND: A systemic method for the application of Ilizarov fixators and on-table fracture reduction is described in this instructional article. This technique has been developed from the unit's practice in adult patients. The indications, underlying principles and rationale for the m...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Jaypee Brothers Medical Publishers
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311752/ https://www.ncbi.nlm.nih.gov/pubmed/34326902 http://dx.doi.org/10.5005/jp-journals-10080-1517 |
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author | Messner, Juergen Prior, Christopher P Pincher, Bethan Britten, Simon Harwood, Paul J Foster, Patrick AL |
author_facet | Messner, Juergen Prior, Christopher P Pincher, Bethan Britten, Simon Harwood, Paul J Foster, Patrick AL |
author_sort | Messner, Juergen |
collection | PubMed |
description | AIM AND BACKGROUND: A systemic method for the application of Ilizarov fixators and on-table fracture reduction is described in this instructional article. This technique has been developed from the unit's practice in adult patients. The indications, underlying principles and rationale for the method are also discussed. TECHNIQUE: The basic concept involves the construction of a series of concentric, colinear rings aligned with the mechanical axis of the limb. An orthogonal ring block is initially placed on the proximal segment and extended distally. Wire to ring reduction techniques are used resulting in the contact, alignment and stability required for early full weight-bearing, free movement of knee and ankle, and subsequent healing. CONCLUSION AND CLINICAL SIGNIFICANCE: Our step-by-step guide takes the reader through a systematic approach to surgery along with tips and tricks on how to achieve reduction and avoid the common pitfalls. With this method, it is possible to achieve an on-table reduction and correction of a multiplanar deformity without the use of expensive hexapod technology. This may allow less experienced users reproduce the technique with a shorter learning curve. HOW TO CITE THIS ARTICLE: Messner J, Prior CP, Pincher B et al. Ilizarov Method for Acute Paediatric Tibial Fractures. Strategies Trauma Limb Reconstr 2021;16(1):46–52. |
format | Online Article Text |
id | pubmed-8311752 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-83117522021-07-28 Ilizarov Method for Acute Paediatric Tibial Fractures Messner, Juergen Prior, Christopher P Pincher, Bethan Britten, Simon Harwood, Paul J Foster, Patrick AL Strategies Trauma Limb Reconstr Clinical Technique AIM AND BACKGROUND: A systemic method for the application of Ilizarov fixators and on-table fracture reduction is described in this instructional article. This technique has been developed from the unit's practice in adult patients. The indications, underlying principles and rationale for the method are also discussed. TECHNIQUE: The basic concept involves the construction of a series of concentric, colinear rings aligned with the mechanical axis of the limb. An orthogonal ring block is initially placed on the proximal segment and extended distally. Wire to ring reduction techniques are used resulting in the contact, alignment and stability required for early full weight-bearing, free movement of knee and ankle, and subsequent healing. CONCLUSION AND CLINICAL SIGNIFICANCE: Our step-by-step guide takes the reader through a systematic approach to surgery along with tips and tricks on how to achieve reduction and avoid the common pitfalls. With this method, it is possible to achieve an on-table reduction and correction of a multiplanar deformity without the use of expensive hexapod technology. This may allow less experienced users reproduce the technique with a shorter learning curve. HOW TO CITE THIS ARTICLE: Messner J, Prior CP, Pincher B et al. Ilizarov Method for Acute Paediatric Tibial Fractures. Strategies Trauma Limb Reconstr 2021;16(1):46–52. Jaypee Brothers Medical Publishers 2021 /pmc/articles/PMC8311752/ /pubmed/34326902 http://dx.doi.org/10.5005/jp-journals-10080-1517 Text en Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd. https://creativecommons.org/licenses/by-nc/4.0/© Jaypee Brothers Medical Publishers. 2021 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Clinical Technique Messner, Juergen Prior, Christopher P Pincher, Bethan Britten, Simon Harwood, Paul J Foster, Patrick AL Ilizarov Method for Acute Paediatric Tibial Fractures |
title | Ilizarov Method for Acute Paediatric Tibial Fractures |
title_full | Ilizarov Method for Acute Paediatric Tibial Fractures |
title_fullStr | Ilizarov Method for Acute Paediatric Tibial Fractures |
title_full_unstemmed | Ilizarov Method for Acute Paediatric Tibial Fractures |
title_short | Ilizarov Method for Acute Paediatric Tibial Fractures |
title_sort | ilizarov method for acute paediatric tibial fractures |
topic | Clinical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311752/ https://www.ncbi.nlm.nih.gov/pubmed/34326902 http://dx.doi.org/10.5005/jp-journals-10080-1517 |
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