An Ilizarov frame is applied surgically to treat bones after fracture or infections. Frames are applied for prolonged periods of time (usually months). They are named after Gavriil Abramovich Ilizarov from the Soviet Union, who pioneered the technique.

Patients receive physiotherapy treatment within Therapy Services (North suite), on level 1 at Queen Elizabeth Hospital Birmingham (QEHB). The department has extensive gym-based rehabilitation facilities to meet individual patient requirements. We work closely with orthopaedic consultants and clinical nurse specialists to treat patients in individual and class-based settings.

The Service provides acute and ongoing multi-disciplinary rehabilitation for patients following application of Ilizarov and Taylor spatial frames. Rehabilitation includes maintaining and increasing weight bearing through the affected limb, improving the range of movement and strengthening to assist with the ability to perform everyday activities. Close monitoring and support during treatment is provided by joint working with a clinical nurse specialist. The goal is to maximize the effectiveness of the frame surgery with regard to final outcome and timescale.

Who needs an Ilizarov frame?

The most common reasons for needing a frame are outlined below:

Fracture non-union

This is where a previous fracture, sometimes held with metalwork, has not healed.

Fracture mal-union

This is where a fracture has healed, but in the wrong position or at the wrong angle.

Limb lengthening or correction of limb deformity

A frame can be used to help lengthen one of your limbs. This is usually following a mal-union or due to problems in the growth plates, usually of the tibia (shin) bone.

Osteomyelitis

This is infection in the bone. It can happen in any bone of the body but typically occurs at the site of an old injury or surgery. It can sometimes also occur without any history of injury or disease.

Complex fractures

Frames can be used to help line up the bone fragments to optimise bone healing and stabilise the limb.

Lead Clinician

Mark Raven – Senior Physiotherapist/Team Leader.

Contact

Email: QEHBphysio@uhb.nhs.uk