TITLE:
The Elevator Fragment Technique of Ilizarov in the Tibial Bone Nonunion with Bone Loss
AUTHORS:
Hamza Benameur, Marwane Abouchane, Mohamed Fahsi, Mostafa Fadili, Mohamed Nechad
KEYWORDS:
Nonunion, Bone Loss, Elevator, Fragment, Ilizarov, Tibia
JOURNAL NAME:
Open Access Library Journal,
Vol.2 No.11,
November
10,
2015
ABSTRACT: The management of nonunions with significant loss of bone remains a very difficult
challenge for orthopedic surgeons. Several techniques have been developed, for
some with difficult realization, and without convincing result for others. Our
study involved two patients between 2012 and 2015, whom developed a tibial bone
nonunion with significant loss of bone and having benefited from the elevator
fragment technique using the Ilizarov external fixator. The evolution was good
with filling of the bone loss and consolidation of the proximal osteotomy and
the tibial nonunion with normal-oriented tibia. The filling of big
post-traumatic bone losses by bone segmental transport, initially proposed by
Ilizarov, finds its place in the reconstruction of the members, especially the
tibia. This method is superior to other reconstruction techniques, in
preserving the bone structure and equalizing its length. This technique has
been adapted to be better tolerated by patients and more accessible to surgical
teams, specifically the optimization of unilateral fixators for bone transport.