Segmental Tibia Shaft Fractures – Extra Articular Ilizarov Reduction Techniques

Abstract

Treatment of complex, particularly segmental, extra-articular tibial fractures by the Ilizarov method has been shown to be safe and effective. Techniques used to achieve reduction are different from those used with other forms of fixation. These can be divided into wire-to-ring and ring-to-ring methods; this chapter contains an overview of both approaches. For stability, at least four fixation elements per bone segments should be applied, using two rings where possible. Constructs should be aligned with the mechanical axis. A stepwise approach to applying an Ilizarov frame and achieving bony alignment is described using segmental tibial fracture as an example, though such an approach can be utilised in any fracture pattern and indeed in other body regions.