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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Related Experiment Video

Updated: Mar 31, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Management of Proximal Tibia Fractures Using Wire Based Circular External Fixator.

Harpreet Singh¹, Rakesh Kumar Misra², Manjinder Kaur³

¹Professor, Department of Orthopaedics, Geetanjali Medical College and Hospital , Udaipur, Rajasthan, India .

Journal of Clinical and Diagnostic Research : JCDR

|October 27, 2015

Summary

Joshi's external stabilization system (JESS) offers a simple and effective treatment for high-grade tibial plateau fractures. This minimally invasive approach resulted in excellent or good outcomes for 85% of patients, with minimal complications.

Keywords:

Bicondylar JESS Schatzker Tibial plateau

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Area of Science:

Orthopedic surgery
Trauma management
Biomechanical fixation devices

Background:

High-grade proximal tibia and tibial plateau fractures present significant management challenges and are prone to complications.
Minimally invasive techniques using wire fixators can achieve good fracture reduction and stability with fewer postoperative issues.

Purpose of the Study:

To evaluate the effectiveness of the Joshi's external stabilization system (JESS), a wire-based circular external fixator, for treating high-grade tibial plateau fractures.

Main Methods:

A prospective study involving 20 consecutive patients with Schatzker type VI tibial plateau fractures.
Treatment was administered using the JESS device, with a mean follow-up period of 24 weeks.

Main Results:

The majority of injuries (n=12) resulted from road traffic accidents.
Excellent or good outcomes (Knee Society Score) were observed in 85% of patients (12 excellent, 5 good).
Complications included two cases (10%) of pin tract infections and one case (5%) of non-union.

Conclusions:

The Joshi's external stabilization system (JESS) is a straightforward, cost-effective, and beneficial method for managing high-grade tibial plateau fractures.
The system demonstrates a favorable outcome profile with a low complication rate.