Clinical advances in Ilizarov technique for foot and ankle trauma_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CAI Peng , FANG Xiang , LI Jia , LI Yaxing ,  ZHANG Hui

Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China;

Corresponding author：

ZHANG Hui, Email: caesarzh@163.com

Keywords：

Ilizarov technique; foot and ankle trauma; external fixation

DOI：

10.7507/1002-1892.202504124

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the clinical application value and progress of Ilizarov technique in the treatment of foot and ankle trauma. Methods The related literature of Ilizarov technique in the treatment of foot and ankle trauma was extensively reviewed, and the fundamental principles of Ilizarov technique and its clinical application in the treatment of complex foot and ankle trauma such as Pilon fractures, lateral malleolus defects, calcaneal fractures, and talus fractures were reviewed, and its efficacy and complications were analyzed. Results The Ilizarov technique demonstrates significant advantages in treating open fractures, bone defects, and cases with poor soft tissue conditions, achieving high rates of bone defect repair, effective infection control, and improved functional scores. However, complications such as pin tract infections remain notable. Conclusion The Ilizarov technique is an effective approach for managing complex foot and ankle trauma, particularly in high-risk cases. Its dynamic fixation mechanism combines mechanical stability with biological repair. Future advancements should focus on integrating three-dimensional printing and smart sensor technologies to enhance precision.

Citation： CAI Peng, FANG Xiang, LI Jia, LI Yaxing, ZHANG Hui. Clinical advances in Ilizarov technique for foot and ankle trauma. Chinese Journal of Reparative and Reconstructive Surgery, 2025, 39(8): 950-957. doi: 10.7507/1002-1892.202504124 Copy

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1.
2. Gomes TM, Oliva XM, Viridiana Sanchez E, et al. Anatomy of the ankle and subtalar joint ligaments: What we do not know about it? Foot Ankle Clin, 2023, 28(2): 201-216.
3.
4. Court-Brown CM, McBirnie J, Wilson G. Adult ankle fractures—an increasing problem? Acta Orthop Scand, 1998, 69(1): 43-47.
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63. Aitken AP, Poulson D. Dislocations of the Tarsometatarsal Joint. J Bone Joint Surg (Am), 1963, 45-A(2): 246-260.
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67.

Chinese Journal of Reparative and Reconstructive Surgery

Clinical advances in Ilizarov technique for foot and ankle trauma

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