Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 2 , ISSUE 1 ( April, 2007 ) > List of Articles

Review

Stability with unilateral external fixation in the tibia

N. Giotakis, B. Narayan

Keywords : External fixation, Fracture, Tibia, Biomechanics, Stability

Citation Information : Giotakis N, Narayan B. Stability with unilateral external fixation in the tibia. 2007; 2 (1):13-20.

DOI: 10.1007/s11751-007-0011-y

License: CC BY-NC-SA 4.0

Published Online: 01-09-2019

Copyright Statement:  Copyright © 2007; The Author(s).


Abstract

Unilateral external fixation can be used in the provisional or definitive treatment of tibial fractures. A properly applied fixator allows bony and soft tissue stability, whereas an improperly applied fixator achieves neither and can be a hindrance. The principles for the successful application of monolateral external fixation, including the rationale for choosing this type of device, the assembly of its components and deciding on planes of application, are discussed in this article.


PDF Share
  1. Egol K, Tejwani N, Capla E et al (2005) Staged management of high-energy proximal tibia fractures (OTAtypes 41): the results of a prospective, standardized protocol. J Orthop Trauma 19:448-455
  2. Harwood PJ, Giannoudis PV, van Griensven M et al (2005) Alterations in the systemic inflammatory response after early total care and damage control procedures for femoral shaft fracture in severely injured patients. J Trauma 58:446-452; discussion 452-454
  3. Haidukewych G (2002) Temporary external fixation for the management of complex intra- and periarticular fractures of the lower extremity. J Orthop Trauma 16:678-685
  4. Roberts CS, Pape H-C, Jones AL et al (2005) Damage control orthopaedics. Evolving concepts in the treatment of patients who have sustained orthopaedic trauma. J Bone Joint Surg Am 87:434-449
  5. Aro HT, Chao EY (1993) Bone-healing patterns affected by loading, fracture fragment stability, fracture type, and fracture site compression. Clin Orthop Relat Res 293:8-17
  6. Huiskes R, Chao EY, Crippen TE (1985) Parametric analyses of pin-bone stresses in external fracture fixation devices. J Orthop Res 3:341-349
  7. Aro HT, Markel MD, Chao EY (1993) Cortical bone reactions at the interface of external fixation half-pins under different loading conditions. J Trauma 35:776-785
  8. Hipp JA, Edgerton BC, An KN, Hayes WC (1990) Structural consequences of transcortical holes in long bones loaded in torsion. J Biomech 23:1261-1268
  9. Edgerton BC, An KN, Morrey BF (1990) Torsional strength reduction due to cortical defects in bone. J Orthop Res 8:851-855
  10. Pettine KA, Chao EYS, Kelly PJ (1993) Analysis of the external fixator pin-bone interface. Clin Orthop Relat Res 293:18-27
  11. Halsey D, Fleming B, Pope MH et al (1992) External fixator pin design. Clin Orthop Relat Res 278:305-312
  12. Hyldahl C, Pearson S, Tepic S, Perren SM (1991) Induction and prevention of pin loosening in external fixation: an in vivo study on sheep tibiae. J Orthop Trauma 5:485-492
  13. Piza G, Caja VL, Gonzalez-Viejo MA, Navarro A (2004) Hydroxyapatite-coated external-fixation pins. The effect on pin loosening and pin-track infection in leg lengthening for short stature. J Bone Joint Surg Br 86:892-897
  14. Caja VL, Piz G, Navarro A (2003) Hydroxyapatite coating of external fixation pins to decrease axial deformity during tibial lengthening for short stature. J Bone Joint Surg Am 85:1527-1531
  15. Moroni A, Caja VL, Maltarello MC et al (1997) Biomechanical, scanning electron microscopy, and microhardness analyses of the bone-pin interface in hydroxyapatite coated versus uncoated pins. J Orthop Trauma 11:154-161
  16. Caja VL, Moroni A (1996) Hydroxyapatite coated external fixation pins: an experimental study. Clin Orthop Relat Res 325:269-275
  17. Behrens F, Johnson W(1989) Unilateral external fixation methods to increase and reduce frame stiffness. Clin Orthop Relat Res 241:48-56
  18. Briggs BT, Chao EY (1982) The mechanical performance of the standard Hoffmann-Vidal external fixation apparatus. J Bone Joint Surg Am 64:566-573
  19. Huiskes R, Chao E (1986) Guidelines for external fixation frame rigidity and stresses. J Orthop Res 4:68-75
  20. Behrens F, Searls K (1986) External fixation of the tibia. Basic concepts and prospective evaluation. J Bone Joint Surg Br 68:246-254
  21. Behrens F, Johnson WD, Koch TW, Kovacevic N (1983) Bending stiffness of unilateral and bilateral fixator frames. Clin Orthop Relat Res 178:103-110
  22. Johnson WD, Fischer DA (1983) Skeletal stabilization with a multiplane external fixation device: biomechanical evaluation and finite element model. Clin Orthop Relat Res 180:34-43
  23. Egan JM, Shearer JR (1987) Behavior of an external fixation frame incorporating an angular separation of the fixator pins: a finite element approach. Clin Orthop Relat Res 223:265-27
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.