Abstract:Ilizarov technique was born in the former Soviet Union in the 1950s, known as one of the milestones in the history of orthope- dic development in the 20th century, and its discovery of the law of tension-stress is one of the greatest discoveries of biology in the history of orthopaedic surgery worldwide. However, this technique was introduced to the West 30 years after it was used because of the iron curtain of the Cold War between East and West in the last century. The discovery of Ilizarov method and its worldwide spread are legends, in which Ita- ly is the first western country to introduce Ilizarov technique and the first Association for Study and Application of the Method of Ilizarov (ASAMI) established in the world. Subsequently, it was spread in Europe, North America, South America, Australia, Japan, South Korea, In- dia, Africa and other countries, due to visa obtained and language exchanging conveniently. The clinician from these countries went to Italy to learn Ilizarov technique and set up their own national ASAMI, and got the chance to study in remote Kurgan in Russia. Entering the 21st century, the law of tension-stress has given birth to new disciplines such as microcirculation reconstruction, transverse bone transport for treatment of diabetic foot. In this paper we reviewed the spreading and innovating Ilizarov technique in Europe to memorize Ilizarov,s greater contribution to orthopedic worldwide.