ArticleAnnals of Saudi medicine
Radiographic and functional results of Ilizarov fixation in the management of nonunion of tibia and femur fractures: a retrospective case series.
Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Salvage of Complex Bimalleolar Ankle Fracture Non-union after Failed Tibiotalocalcaneal and Charnley Arthrodesis using Fibular Strut Grafting and Ilizarov Fixation: A Case Report.Journal of orthopaedic case reports · 2026Article
- Ilizarov Method for the Management of Infected Nonunion of the Femur With or Without Bony Defects.Cureus · 2026Article
- Knee Arthodesis , as a salvage procedure for Non-union of floating knee after ilizarov fixation-A case report.Journal of orthopaedic case reports · 2025Article
- Failure Modes in Ilizarov Limb Salvage: A Narrative Review of Technical, Biological, Patient-related and Systemic Determinants.Strategies in trauma and limb reconstructionArticle
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Authors and funding
6 authors.
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Abstract
backgroundFemoral and tibial fractures may result in delayed union and nonunion, posing significant challenges in orthopedic practice. The Ilizarov technique has emerged as a promising solution for managing these complex cases.
objectivesEvaluate the radiographic and functional results of Ilizarov fixation in the treatment of nonunion of tibia and femur fractures.
designRetrospective. SETTINGS: Hospitals affiliated with a university hospital. PATIENTS AND
methodsPatient demographics, fracture characteristics, and treatment details were analyzed for the period from October 2015 to September 2022 in patients who were treated for nonunion of the tibia and femur using the Ilizarov fixator. Clinical and radiological assessments were performed using the Association for the Study and Application of Methods of Ilizarov (ASAMI) criteria. The study focused on assessing the average duration for union and frame removal, bone results, successful union rates, and functional results using the ASAMI criteria, obtaining data from the existing medical records, spanning various medical facilities treating nonunion fractures. SAMPLE SIZE: 126 patients.
resultsThe average duration for union and frame removal was 8 months, with excellent bone results observed in 60.32% of cases. Out of 126 patients, 118 achieved successful union, while there were 2 failure cases necessitating amputation (1.52%). Functional results revealed excellent outcomes in 39.68% of cases. Complications included pin tract infections, ankle and knee stiffness, and limb shortening. External fixation duration and infection eradication were consistent with previous research, emphasizing the technique's effectiveness.
conclusionsThe Ilizarov technique proved highly effective in managing nonunion tibia and femur fractures, offering favorable outcomes in terms of union, infection control, pain relief, and functional recovery. While excellent bone outcomes do not guarantee optimal function, this method remains a reliable approach for complex cases. LIMITATIONS: Potential biases inherent in retrospective analyses and the need for further randomized controlled trials to comprehensively compare treatment modalities.
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