The Ilizarov method. Orthopedic and soft tissue applications.

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Abstract

[Indexed for MEDLINE] 14. J Orthop Trauma. 2025 Dec 1;39(12S):S1-S7. doi: 10.1097/BOT.0000000000003073. Ilizarov Basics for the Trauma Surgeon: Building a Frame for Fractures and Treating Until Successful Union. Ferreira N(1), Fűzy EJ(1), Assayag MJ(2), Conway JD(2). Author information: (1)Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and. (2)International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD. Circular external fixation provides trauma surgeons with a powerful and versatile tool in the management of complex fractures. It is particularly valuable when internal fixation is not feasible because of soft tissue compromise, active infection, or extensive bone loss. This article outlines the fundamental principles of the Ilizarov method with a practical focus on biomechanical rationale, frame construction techniques, and postoperative care essential to achieving successful union. Integrating clinical experience and recent literature, this guide promotes broader application of circular fixation in both acute trauma and limb salvage settings. Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/BOT.0000000000003073