Bay Area Foot and Ankle Medical Clinic, San Jose, California, USA.
Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Fourth Clinical Medical College of Peking University, Beijing, China.
Orthop Surg. 2024 Sep;16(9):2111-2114. doi: 10.1111/os.14193. Epub 2024 Aug 27.
The Ilizarov technique is one of the most important tools that is currently employed in bone reconstruction surgeries. Its inception dates back to the mid-20th century and involves various bone reconstruction methodologies implemented using a circular external fixator system devised by G. A. Ilizarov. The key advantages of this approach include the generation of viable new bone via distraction osteogenesis, high union rates, and the functional utilization of the limb during the treatment process. The exploration of distraction osteogenesis phenomenon triggered by tensile stress with the Ilizarov device served as a catalyst for progress in bone reconstruction surgery. Subsequently, the original technique has been utilized alongside several adaptations resulting from the introduction of novel fixation tools and methods of their application, such as hexapod external fixators and motorized intramedullary lengthening nails. It is crucial to possess a precise comprehension of the Ilizarov principles of deformity correction in order to effectively utilize this fixation system. In this article, we will discuss the history of Ilizarov frame, the basic sciences behind it, the mechanical principles governing its use, and the clinical application of the fixation system in our daily practice.
伊利扎罗夫技术是目前用于骨重建手术的最重要工具之一。它起源于 20 世纪中期，涉及使用 G.A.伊利扎罗夫设计的环形外固定器系统实施的各种骨重建方法。这种方法的主要优点包括通过牵张成骨生成有活力的新骨、高愈合率以及在治疗过程中对肢体的功能利用。伊利扎罗夫器械引起的张应力诱导的牵张成骨现象的探索是骨重建手术进展的催化剂。随后，原始技术已与几种改进方法一起使用，这些改进方法源于新型固定工具的引入及其应用方法，例如六足外固定器和机动髓内延长钉。精确理解伊利扎罗夫畸形矫正原理对于有效利用这种固定系统至关重要。在本文中，我们将讨论伊利扎罗夫框架的历史、其背后的基础科学、其使用的力学原理以及在我们的日常实践中固定系统的临床应用。
