Chapter 1: Strategies for reconstruction of periarticular and shaft fractures of the tibia

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Abstract

The technical strategies to treat fractures of the tibia with Ilizarov fixators are described. An Ilizarov fixator can be applied as a neutralization device after open or pericutaneous reduction, as an active reduction device using universal hinge mechanisms between fixation blocks, or as an external scaffold which incorporates distraction/compression and the placement of pins and wires to apply force through pivot points and levers. Periarticular fracture patterns are classified into five types: Type 1, intact metaphysis; Type 2, simple sagittal or coronal fractures; Type 3, moderate large fragment joint fractures; Type 4, comminution of the joint; and Type 5, severe crushing with bone loss. The concept of fixation blocks and orthogonal placement of pins and wires is introduced.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalTechniques in Orthopaedics
Volume17
Issue number1
DOIs
StatePublished - Mar 1 2002

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Keywords

  • Ilizarov fixator
  • Tibia plateau pilon fracture

ASJC Scopus subject areas

  • Surgery

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