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Updated: Jun 12, 2026

Adjustable Stiffness, External Fixator for the Rat Femur Osteotomy and Segmental Bone Defect Models
Published on: October 9, 2014
Improvised external fixator device to restore motion in a neglected elbow dislocation.
1Central Institute of Orthopaedics, Safdarjang Hospital and Vardhman Mahavir Medical College, New Delhi 110029, India. drvikas@hotmail.com
Neglected posterior elbow dislocations can be treated with open reduction and Steinmann pin fixation, but this causes elbow stiffness. An improvised external fixator allowed early mobilization and stability in two cases, offering an alternative when modern implants are unavailable.
Area of Science:
- Orthopedic surgery
- Traumatology
- Biomedical engineering
Background:
- Neglected posterior elbow dislocation is a frequent challenge in developing nations.
- Standard treatment involves open reduction and transarticular Steinmann pin fixation, ensuring stability but often resulting in joint stiffness.
Observation:
- This study explored an alternative fixation method for neglected posterior elbow dislocations.
- An improvised external fixator was utilized in two patient cases following open reduction.
Findings:
- The improvised external fixator provided adequate stability for the elbow joint.
- Early mobilization was achieved in both cases, mitigating the risk of joint stiffness.
Implications:
- This technique offers a viable alternative for managing neglected posterior elbow dislocations, particularly in resource-limited settings.
- The use of an improvised external fixator may improve functional outcomes by enabling earlier joint movement.
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