External Fixator Use in Femur Diaphysis Fractures

  • Mehmet ÇakmakEmail author
  • Melih Cıvan


Although it is the strongest bone in the human body, fractures of the femur diaphysis are not rare. The strongest muscles are located around this bone. These muscles may cause prominent displacements depending on the location of the fracture. It has a thick cortical bone and less in cancellous bone. Therefore, reunion takes long time.

Although femur diaphysis has a long and straight medullary cavity that is suitable for intramedullar nailing, Ilizarov external fixator (IEF) can also be used in all femur fractures. It is not common in today’s practice. But we would like to explain this technique as a secret weapon for a trauma surgeon. In some cases Ilizarov’s methods can be lifesaving. The horizontal cross sections are more important than sagittal and frontal cross sections because osteosynthesis with Ilizarov is a type of transosseous osteosynthesis method. In this chapter femoral cross sections and circular external fixator used in femur diaphysis fractures will be explained.


  1. 1.
    Solomin NL. The basic principles of external fixation using Ilizarov device. St. Petersburg: Springer; 2005.Google Scholar
  2. 2.
    Catagni MA. Current trends in the treatment of simple and complex bone deformities using the Ilizarov method, Instructional Course Lectures. Vol XLI Chapter;47. 1992.Google Scholar
  3. 3.
    Maiocchi AB, Aronson J. Operative principles of Ilizarov, ASAMI. Baltimore: Williams Wilkins; 1991. p. 4.Google Scholar
  4. 4.
    Golyakhovsky V, Frankel VH. Operative manual of Ilizarov techniques. St. Louis: Mosby; 1993. p. 2.Google Scholar
  5. 5.
    Cakmak M, Kocaoğlu M. Surgery and Principles of Ilizarov (In: Turkish ) Istanbul: Doruk Graphics; 1999.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Orthopedic & Traumatology DepartmentIstanbul University, Istanbul Faculty of MedicineIstanbulTurkey

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