Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2020; 11(6): 304-318
Published online Jun 18, 2020. doi: 10.5312/wjo.v11.i6.304
Published online Jun 18, 2020. doi: 10.5312/wjo.v11.i6.304
Role of the Ilizarov non-free bone plasty in the management of long bone defects and nonunion: Problems solved and unsolved
Dmitry Y Borzunov, Department of Traumatology and Orthopedics, Ural State Medical University, Ekaterinburg 620109, Russia
Sergei N Kolchin, Orthopaedic Department 4, Ilizarov National Medical Research Centre for Traumatology and Orthopaedics, Kurgan 640014, Russia
Tatiana A Malkova, Department for Medical Information and Analysis, Ilizarov National Medical Research Centre for Traumatology and Orthopaedics, Kurgan 640014, Russia
Author contributions: Malkova TA and Kolchin SN contributed to the acquisition of data; all authors contributed to the conception and design, analysis and interpretation of data, drafting of the manuscript, and critical revision of the manuscript.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Dmitry Y Borzunov, MD, PhD, Doctor, Professor, Research Scientist, Surgeon, Department of Traumatology and Orthopedics, Ural State Medical University, No. 3, Repina Street, Ekaterinburg 620109, Russia. borzunov@bk.ru
Received: February 26, 2020
Peer-review started: February 26, 2020
First decision: April 25, 2020
Revised: May 6, 2020
Accepted: May 16, 2020
Article in press: May 16, 2020
Published online: June 18, 2020
Peer-review started: February 26, 2020
First decision: April 25, 2020
Revised: May 6, 2020
Accepted: May 16, 2020
Article in press: May 16, 2020
Published online: June 18, 2020
Core Tip
Core tip: The Ilizarov non-free bone plasty can treat the triad of problems associated with bone defects simultaneously (bone loss, soft tissue loss and infection) without the need for major plastic surgery. It provides a stable mechanical environment, corrects deformities, and enables weight bearing. The findings suggest that the Ilizarov fixator is better suited for infected nonunion of the tibia, while monolateral fixators are valid for the femur. High rates of successful treatment were reported and depended on the pathology and type of the Ilizarov method protocols used. Docking site nonunion and after-frame regenerate fracture or deformity are the major causes of failure.