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Doody's Review ServiceReviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This book describes in detail the use of Dr. Ilizarov's surgical approaches to treat bone deformities and limb length inequality with the aid of a circular external fixture.
Purpose: The purpose is to present an updated version of the author's previous work on the subject and to address current topics while focusing on the important Ilizarov teachings.
Audience: The audience is mainly orthopedic surgeons and traumatologists who treat extremity fractures and deformities. Trainee physicians can benefit immensely from this book.
Features: The first part presents short chapters on bone biology and mechanics. Part two presents the important information on the circular fixture assembly, then part three discusses clinical situations and solutions using hinges, bone distraction, bone compression, and joint contracture management. Segmental bone transport methods, fracture management, and arthrodeses are carefully covered. Newer modifications to the external fixture are discussed in the fourth part, which reviews the Taylor Spatial Frame, the Hexapod system. and the TRUE/LOK system. The selected bibliography is limited to just 25 citations. Painstaking technical details are presented since complications or problems must be avoided at all cost. Insufficient attention is devoted to common complications such as pin tract infection, premature consolidation of corticotomy, soft tissue and joint contracture, etc. The majority of this book is written in a manual format, with no discussion of results of significant clinical series. It is a handsome work, with superior binding and spacious layout with abundant drawings and photos.
Assessment: This is perhaps the most important publication on Ilizarov and his work. His new bone biology teachings and a relatively inexpensive reusable ring external fixation represent a major twentieth-century medical contribution to the management of bone extremity trauma and deformity. The lead author, Vladimir Golyakhovsky, MD, PhD, attending physician at New York University Hospital for Joint Diseases Orthopaedic Institute and clinical associate professor of orthopedics at New York University, was a disciple and student of Ilizarov. He was at the right place at the right time in Russia and he is the best individual to author this work. Victor H. Frankel, MD, PhD, president emeritus and professor at the same institutions, is a visionary type of academic leader. In 1987, at the first international symposium of the Ilizarov technique in New York, I had the pleasure of meeting Dr. Ilizarov and the authors (in spite of the close scrutiny of the KGB). My early trips to Lecco, Italy, and later to Sao Paulo, Brazil, convinced me that the Ilizarov method was the new worldwide paradigm. I very strongly recommend this work to all medical professionals caring for patients with skeletal trauma and/or deformity. Medical science libraries are advised to buy this outstanding work.