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Introduction External fixators (EF) are essential tools in trauma emergencies. EF in the emergency department (ED) is used as a provisional method for stabilizing complex, open fractures, for treating fractures in the presence of burns
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exceeds 9.3 kPa continuously for more than 2–3 h. To date, however, there are no clear recommendations as to how long a pelvic truss can be safely maintained ( 20 ). Supra-acetabular external fixation and pelvic C-clamp Anterior external fixators
Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Firoozgar Hospital, Bone and Joint reconstruction research center, Iran University of Medical Sciences, Tehran, Iran
Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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.0%) 8 (66.7%) 4 (33.3%) 12 (100%) External fixator 5 (62.5%) 3 (37.5%) 3 (37.5%) 5 (62.5%) 8 (100 %) Symphyseal plating 5 (100%) 0 (0.0%) 4 (80.0%) 1 (20.0%) 5 (100%) Iliosacral plating 1 (100%) 0 (0
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external fixation with or without limited ORIF can be a good option. Hybrid external fixators are attached to the distal tibial epiphysis through a partial ring with tensioned wires. Proximally, the hybrid fixator is constructed from conventional external
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four external fixators, two expandable nails, 16 plates and six conservative treatments with plaster of Paris. All had undergone a change to a reamed IM nail, with a 2-cm fibular osteotomy resection and with application of autograft obtained from
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stability of the whole pelvic ring in order to facilitate early mobilization of the patients. A minimally invasive option to stabilize the anterior pelvic ring is the use of the external fixator. This procedure has been well investigated, carries a minimal
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, 34 ). Bor et al. ( 10 ) reported four patients who were treated with closed reduction, proximal ulnar osteotomy, and Ilizarov external fixator received good clinical outcomes. Similar results were then reported by Take et al. ( 10 , 45 ) and
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a mainstay in the treatment of tibial shaft fractures. Other fixation methods remain viable options, and a lot of ongoing research focuses on comparing IMN to external fixators in managing these injuries. Several studies have shown IMN to be
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. The BOA/BAPRAS standards recommend provisional stabilization before definitive fixation, unless this can be achieved at primary debridement. In such cases spanning external fixation is recommended. 23 , 24 The use of external fixators in
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fractures was proposed by several authors. 32 - 34 The first stage included fixation of the fibula and application of an external fixator medially. Definitive distal tibial fixation was performed only after the resolution of soft-tissue oedema, usually
