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Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland
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Hospital Base de Valdivia, Valdivia, Chile
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Clínica Puerto Montt, Puerto Montt, Chile
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Hospital Base de Valdivia, Valdivia, Chile
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distraction external fixator and a subperiosteal metaphyseal osteotomy is performed. The bone callus that forms in the osteotomy focus is elongated progressively. This technique is usually selected in cases where the desired elongation is greater than or equal
Department of Orthopaedics and Trauma Surgery, Klinik Gut, St. Moritz, Switzerland
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AO Research Institute Davos, Davos Switzerland
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joint is less important compared to the younger population. Suboptimal bone density with poor peripheral blood supply and compromised soft tissue may restrict internal fixation opportunities and may require other options like external fixator
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reduced and constrained immediately. Here, transfixation with an external fixator becomes increasingly the treatment of choice. It protects the compromised soft tissue, reduces pain and offers stability as well as immediate access to the soft tissue ( 7
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tissue monitoring, a tibio-metatarsal external fixator is applied in addition to any internal fixation. 23 Definitive wound closure is achieved during planned revisions either by direct suture, skin graft, local or free flaps. Techniques of
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in the early period after they sustained a low-energy, unstable ankle fracture, primary ankle arthrodesis was performed. 22 The authors chose circular external fixator or intramedullary nail to obtain arthrodesis, depending on whether patients
Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA
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Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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Department of Surgery, Universidad de Sevilla, Sevilla, Spain
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implanting a fixed or hinged external fixator between the tibia and talus while applying a distraction force to the ankle joint, either alone or in combination with other joint techniques (chondroplasty, osteochondral holes, microfractures, hyaluronic acid or
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the limb should be immobilised by cast or external fixator to condition the soft-tissue prior to secondary surgical reduction. Concomitant ligamental injury with resulting instability should be identified before or during surgery. Treatment
