Current Concepts of External Fixation of FracturesHans K. Uhthoff, Elvira Stahl External fixation is now being used widely to maintain fractures, osteo tomies, and arthrodeses in a desired position during consolidation. Whereas external fixation has been readily accepted in European countries, its use has weathered a rather stormy course in North America, especially in the treatment of fractures. Only recently has external fixation found its rightful place on this continent as well. Many different models are on the market today, and the practitioner is faced with a difficult decision in selecting a model. Should he buy a system where the fracture has to be reduced first, or should he work with a device permitting a reduction after insertion of the pins? To enable surgeons to study the different systems, to discuss their advantages and disadvantages, and to permit them to put their hands on these devices and inspect them personally, the Division of Orthopedic Surgery, University of Ottawa organized an applied basic science course in May 1981, External Fixation of Fractures. During this course, all major systems were pre sented to the participants. As happened during the course "Internal Fixation of Fractures" held two years ago, the rigidity of internal fixation was frequently and intensively debated. Whereas the rigidity of internal fixation cannot be altered during the course of healing, the rigidity of external fixation can be changed. In fact, with progression of union, rods of increasing elasticity can be used. |
Contents
| 1 | |
| 15 | |
Complications of External Fixation | 43 |
Hoffmann External Half Frame Fixation | 61 |
External Fixation Tubular ASIF | 75 |
Judet External Fixator | 91 |
Kronner System | 110 |
An External Fixation System Using Formable Plastic Rods | 117 |
Therapy of PostTraumatic Osteomyelitis | 235 |
Treatment of Infected Fractures and Pseudarthroses with | 253 |
External Fixation of Pelvic Fractures | 273 |
External Fixation of Pelvic Ring Fractures | 281 |
External Fixation of the Upper Extremity with the ASIF Tubular | 303 |
Vascularized versus Conventional Bone Grafts in the Treatment | 317 |
External Fixation of High Tibial Osteotomies and Proximal | 333 |
External Skeletal Fixation of the Lower Thoracic and | 352 |
The Stability of Different Systems | 131 |
Unilateral External Fixation | 177 |
Anatomic Considerations in the Placement of Percutaneous Pins | 202 |
Septic Nonunion | 221 |
The Use of External Fixators in the Polytraumatized Patient | 381 |
Shortcomings of External Fixation | 415 |
A New Bone Graft Substitute | 424 |
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Current Concepts of External Fixation of Fractures Hans K. Uhthoff,Elvira Stahl No preview available - 2011 |
Common terms and phrases
alignment ankle antibiotic applied artery arthrodesis axial bending bone graft bone healing Bone Jt bone loss Burny callus cancellous bone cancellous bone graft clamps clinical comminuted complications compression cortical bone debridement defect deformation dislocation distal double frame drainage external fixation device external frame external skeletal fixation facet joints femoral femur fixateur externe flap foot frac fracture healing fragments half pins Hierholzer Hoffmann external fixation humerus iliac crest immobilization implants injuries inserted internal knee joint ligaments limb load loosening Mears medial method motion Müller muscle necrosis nonunion open fractures Open Tibia open tibial Orthop osteomyelitis osteosynthesis osteotomy patients pelvic fractures pelvic ring pin group plane plate position post-traumatic posterior postoperative procedure proximal pseudarthrosis reduction removed rigid fixation sacroiliac joint Schanz screws skin Slätis soft tissue stability Steinmann pins Surg surgery surgical technique tibia tibial fractures tion traction trauma treated treatment Type union vascular Vidal weight bearing wound