The Ilizarov method for fracture management has historically been reserved for complex deformities, recalcitrant nonunions, and high-grade open fractures. Advances in the understanding of fracture healing and the importance of the soft tissue envelope have led to the use of external fixation for routine fracture management. Application of the Ilizarov method provides stable fixation by allowing early range of motion while minimizing soft tissue trauma and preserving the fracture fragment blood supply. The authors present a technique and illustrative case describing the use of the Ilizarov method for acute extraarticular distal humerus fracture management.
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