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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
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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
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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Firoozgar Hospital, Bone and Joint reconstruction research center, 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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approach using external fixation is recommended in complex patterns and high-energy trauma, especially in cases of axial instability. Knee-spanning external fixators can be used to approximate the fracture fragments by the process of ligamentotaxis. 1 , 6
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bone deformities. 7 Different devices are used for limb lengthening, including monolateral fixators, circular external fixators or intramedullary nail. Regardless of the method, complications may occur, 7 and one of the major concern relates
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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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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
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a medial soft-tissue repair or adding a temporary external fixator. Medial exposure of the elbow does add some morbidity. Soft-tissue disruption often includes not only the medial collateral ligament but also the common flexor pronator group. All
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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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, 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