Mohsen Mardani-Kivi
Mahmoud Karimi Mobarakeh
Zoleikha Azari

Background: The current study aimed at determining the clinical effectiveness and safety of Ilizarov external fixation on the treatment of femoral supracondylar fracture. Methods: The current retrospective case series study was conducted on patients with femoral supracondylar fracture. The patients were treated by Ilizarov technique and followed up for ۱ - ۶ years. The complication rate was determined by knee society score (KSS) and functional knee score (FKS). Results: Most of the ۴۷ assessed patients were in the age range of ۳۱ - ۴۰ years (۳۸.۳%) and ۸۳% of them were male. Average fixation time was ۴.۸۲ ± ۰.۹۶ months (range three to seven months); ۴۰ cases (۸۴.۵%) until five months and all patients until seven months post-operation achieved complete union without major complications. The mean range of extension lack and flexion of the knee at the final follow-up were ۱.۹۱ ± ۳.۵۴ and ۱۲۱.۱۷ ± ۱۴.۴۵ degrees, respectively. The means of KSS and FKS at final follow-up were ۹۰.۸ ± ۷.۲ and ۹۰.۵۷ ± ۸.۱۶, respectively. Although superficial pin-tract infection was observed in ۲۸ pin sites (۵۹.۶%), no patient developed deep infection or osteomyelitis. Conclusions: The Ilizarov fixative technique can be used as an effective and available method with low complications to treat severe femoral supracondylar fractures.

Ilizarov, External Fixation, Distal Femoral Fracture