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Rehabilitation with Ilizarov Ring Fixator


The aim is to:

  1. Restoration of complete function of the extremity after injury or disease. This is only possible to achieve by restoring the normal shape and rigidity of the bone being treated. Ilizarov fixation with its anatomic reduction, stable fixation creates an optimum condition for natural bone union and curing of the wound with soft tissue damage.
  2. With active exercises the muscles are activated, trophics is improved and the muscles strengthen.
  3. Ilizarov fixator enables variety of continuity of rehabilitation from injury until maximum possible result.


Active exercises

a) Isomatric (static) and.

b) Isotonic (dynamic) - Start immediately after the operation, together with the exercises of the joints 3 to 4 times a day.

  1. Regular hygiene around the wires and pins is obligatory and it contributes mmore comfortable and better rehabilitation.
  2. Application of electro stimulation in case of nerve lesion with the apparatus on the extremity is possible to perform.
  3. After removal of Ilizarov apparatus underwater massage, paraffin application, stronger active and passive exercises are allowed. This will achieve the maximum function very quickly if the procedure has been observed all the time.


Load and Motion:

  1. Walking with two crutches reduces tonus of the musculature and circulation. Slowing of the circulation leads to oedema and demineralization. On the superior extremities this is less expressed because of the better relationship towards the heart and smaller influence of gravitation.
  2. With the method of photon absorption the value of the mineral on the fracture site was found to be from 92-98% in cases treated by compression distraction method according to Ilizarov.
  3. With the Ilizarov Ring Fixator complete mineralization was achieved 12 days, but with traditional method minerals on the fracture site lasts 150 days (Anderson, Nisson 1974).
  4. Ilizarov Ring Fixator leads to micro motion in the fracture site up to 1 mm, which simulates osteogenesis and particularly the formation of the periostic callus and very fast restoration of the function.
  5. We recall Wolf's law on bone transformation. The shape and the structure of bone is changed in accordance with the loading conditions. Increased pressure causes hypotrophy, while unloading leads to bone dissolution.