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Pseudoarthrosis

  • Mehmet Çakmak
  • Melih Cıvan
Chapter

Abstract

Fracture healing has been studied for years in orthopedics and still is a hard problem to handle for the orthopedic surgeons. Healthy union could be obtained with basic reductions in some fractures but nonunion may also develop accompanying with particular negative factors. In recent years, there have been many developments in this deep and mystic area of orthopedics thanks to the basic sciences and various special techniques.

Some sources state that a specific nonunion case introduced the Ilizarov’s method to the Western world. This case was from Italy. He was a famous Italian mountaineer, adventurer and photographer named Carlo Mauri (1932-1982). He had been suffering from infected tibia pseudoarthrosis for ten years until a successful treatment at Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics in 1977 (RISC-RTO). With this successful treatment, Ilizarov had gained the title of “Michelangelo of Orthopedics” and invited to the 22nd AO Italy conference in Bellagio in June 1981 as a guest speaker.

Ilizarov had been already known by some orthopedic surgeons and scientist long before that conference according to some other sources and authors. Despite this acquaintance, his scientific influence encountered with an incomprehensible resistance until early 80s.

There was an obvious requirement of an external fixator design to treat especially complex pseudoarthrosis cases after Second World War. Until Ilizarov’s design, European clinics were using Judet’s “Fixateur Externe” for treatment. Ilizarov donated his own instrument set to Italian surgeons. Beginning from early 90s with the rapidly increasing effect of his lifetime scientific work, his techniques has been embraced by the world and this especially facilitated the treatment of complicated nonunion cases.

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Istanbul Faculty of Medicine, Orthopedic and Traumatology DepartmentIstanbul UniversityIstanbulTurkey

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