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[The dynamized external fixator. Use and problems].

R Rosso, S Martinoli, A Leutenegger

    Helvetica Chirurgica Acta
    |June 1, 1989
    PubMed
    Summary
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    Dynamizing external fixators offers a reliable treatment for simple open shaft fractures. This method is not recommended for complex or comminuted fractures.

    Area of Science:

    • Orthopedic Surgery
    • Traumatology
    • Bone Healing

    Context:

    • External fixation is a common treatment for open fractures.
    • Dynamization involves allowing controlled movement within the fixation device.
    • The study evaluates dynamized external fixation in a clinical setting.

    Purpose:

    • To assess the efficacy of dynamized external fixation for open shaft fractures.
    • To determine outcomes in patients treated with this technique.
    • To identify fracture types suitable for dynamization.

    Summary:

    • Eleven patients with open shaft fractures were treated using external fixators, with dynamization applied at certain treatment stages.
    • Bone union was achieved in 7 patients without further intervention; 2 required casting post-fixator removal, and 2 with non-union underwent plating for healing.

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  • Dynamization of external fixators proved effective for simple open shaft fractures.

    • Impact:

    • Dynamized external fixation presents a viable, elegant option for managing simple open shaft fractures.
    • This approach may reduce complications and improve patient outcomes.
    • The findings suggest limitations for complex or comminuted fracture patterns.