2016年7月22日 · Indications for external fixation of the tibial shaft in trauma applications include the treatment of open fractures with extensive soft tissue devitalization and contamination. Other indications include the stabilization of closed fractures with high-grade soft tissue injury or compartment syndrome.

A joint-bridging external fixator is fixed to the femur and the tibia while the fracture zone is left virtually untouched (it is bridged). Provisional reduction is achieved with distraction. When external fixation is used to bridge the knee joint it is always only for temporary fixation.

A joint-spanning external fixator may be necessary for distal tibial fractures with severe soft-tissue injury. It is applied to the tibia and the foot, avoiding the zone of injury. The construct should not impede soft-tissue care and planned implant placement.

2023年8月4日 · This activity outlines the relevant anatomy, techniques, and fixation goals and highlights the role of the interprofessional team in managing patients who undergo external fixation. Objectives: Identify the indications and contraindications of external fixation.

Details of external fixation are described in the basic technique for application of modular external fixator. Specific considerations for the uniplanar external fixator in the tibial shaft are given below.

External fixation is one of the most often utilized treatment options for complicated tibial diaphyseal fractures (TDF). The purpose of this study was to assess the efficacy of unilateral external fixators as primary and definitive therapy for complex TDF in a resource-limited setting.

Bone tissue repair in patients with open diaphyseal tibial fracture treated with biplanar external fixation or reamed locked intramedullary nailing.

The aim of this study was to evaluate the effectiveness of unilateral external fixator as primary and definitive treatment for open tibial fractures, fractures with severe soft tissues injuries, threatened compartment syndrome, and in multiply injured patients.

Unilateral external fixation can be used in the provisional or definitive treatment of tibial fractures. A properly applied fixator allows bony and soft tissue stability, whereas an improperly applied fixator achieves neither and can be a hindrance.

Open reduction and Internal Fixation Compared with Circular Fixator Application for Bicondylar Tibial Plateau Fractures.