[Stable joint-bridging extension of malleolar dislocations and pilon fractures with the AO pinless external fixator]

Helv Chir Acta. 1994 Jul;60(5):833-8.
[Article in German]

Abstract

The pinless external fixator, introduced into clinical practice for open tibial fractures, suggested itself for use as a traction substitute because of its pinless frame. The aim of this feasibility study was to replace the conventional calcaneal pin traction by a joint-bridging pinless fixator, inserted under local anesthesia. 10 patients with 6 malleolar dislocation fractures, 3 pilon tibial and 1 open distal tibial fracture were immobilised by a joint-bridging pinless fixator during 10.4 days (5-16 days) till swelling had subsided and definitive fracture treatment, consisting of plate fixation, took place. The implantation of the joint-bridging pinless fixator in local anaesthesia was well tolerated by all patients. This traction substitute offered good patient comfort and easy care. Although the provided stability was less than a conventional fixator, all patients were able to lift up their fractured extremity without pain.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Ankle Injuries / diagnostic imaging
  • Ankle Injuries / surgery*
  • Equipment Design
  • External Fixators*
  • Female
  • Fracture Healing / physiology
  • Humans
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / surgery*
  • Male
  • Middle Aged
  • Radiography
  • Tibial Fractures / diagnostic imaging
  • Tibial Fractures / surgery*