A new application technique of circular fixator for the treatment of open tibial fractures: circular fixator-hinge technique

Ulus Travma Acil Cerrahi Derg. 2013 Nov;19(6):543-7. doi: 10.5505/tjtes.2013.47936.

Abstract

Background: The purpose of this study is to present and validate a hinge-fixator technique for the treatment of open tibial fractures, which has advantages in application and the follow up period.

Methods: The technique was used in open tibia fractures of 14 adult patients. Using this method, initial anatomic reduction was achieved and temporary stability was obtained on the hinge-fixator after applications were completed. Patients' radiological and clinical results were analyzed using the Paley's criteria at the time of the last follow-up.

Results: Patients were brought in for followed up analysis over a 5.4 year period. According to Paley, two patients had 'good' and 12 patients had 'excellent' radiological results, while the functional result were excellent (n=13) and good (n=1), respectively.

Conclusion: The hinge-fixator technique is a fast and easy method that contributes to shorter operation times, reduced radiation exposure, and more comfortable treatment periods.

MeSH terms

  • Adult
  • Equipment Design
  • External Fixators*
  • Female
  • Fracture Fixation / methods
  • Fractures, Open / surgery*
  • Humans
  • Male
  • Middle Aged
  • Operative Time
  • Range of Motion, Articular
  • Recovery of Function
  • Tibial Fractures / surgery*
  • Young Adult