[External fixator for temporary stabilization of complex periarticular knee fractures]
1Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf (UKE), Martinistr. 52, 20251, Hamburg, Deutschland. c.cramer@uke.de.
Operative Orthopadie Und Traumatologie
|September 3, 2020
Summary
This study details a temporary external fixation technique for knee joint stabilization, crucial for minimizing soft tissue strain before definitive surgical intervention in complex fracture cases.
Area of Science:
- Orthopedic surgery
- Trauma management
- Biomedical engineering
Background:
- Knee joint injuries often require temporary stabilization to manage soft tissue damage.
- Complex fractures and dislocations present challenges for immediate definitive treatment.
- Minimizing soft tissue strain is critical for optimal outcomes in knee trauma.
Purpose of the Study:
- To describe a method for temporary knee joint stabilization.
- To reduce soft tissue strain in patients awaiting definitive surgery.
- To provide a technique for managing complex knee injuries.
Main Methods:
- Utilized a temporary external fixation device spanning the knee.
- Employed bilateral femoral and tibial pins connected by rods.
- Maintained knee flexion at 5-15° to reduce tension.
Main Results:
- The technique allows for effective temporary stabilization of the knee joint.
- It successfully minimizes soft tissue strain.
- Applicable to various complex knee injuries, including fractures and dislocations.
Conclusions:
- Temporary external fixation is a viable strategy for knee joint stabilization.
- This method aids in preparing patients for subsequent definitive surgical procedures.
- It is indicated for severe knee trauma where immediate surgery is not feasible.
Keywords:
Definitive careKnee joint dislocationsOpen fracturesSevere soft tissue damageSurgical technique

