title: The Ilizarov method in the treatment of nonunion of the tibial pylon.
abstract: The results of the treatment of 18 cases of nonunion of the tibial pylon using the Ilizarov method are presented. The level of the nonunion was divided into A (epiphyseal, 2 cases), B (from 1 to 4 cm from the joint rima, 7 cases), and C (from 4 to 7 cm from the rima, 9 cases). Nonunion was atrophic in 12 cases, hypertrophic in 2, and infected in 4. Bone grafts were applied in 8 atrophic cases, while bone resection with transport or resection-shortening was performed in the 4 cases with infection, or resection-shortening and then lengthening in 2 cases. Consolidation was always achieved. Range of movement was very compromised in 9 cases, of which 5 initially presented with joint fracture, while another 4 had had septic complications after fracture.
authors.affiliation: Clinica Ortopedica e Traumatologica, Dipartimento Specialità Medico Chirurgiche, Università degli Studi, Padova.
authors.forename: C
authors.initials: C
authors.lastname: Iacobellis
authors.forename: M
authors.initials: M
authors.lastname: Lando
mesh_terms: D000328:Adult; D005260:Female; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013978:Tibial Fractures / Q000601:surgery*