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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

3.6K
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: Sep 3, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

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

Published on: June 6, 2025

227

Complex distal tibia fractures treated with multi-planar external fixation - a single center experience.

Yiu Hin Kwan1, Joshua Decruz1, Antony Xr Premchand1

  • 1Department of Orthopaedic Surgery, Khoo Teck Puat Hospital 90 Yishun Central, 768828, Singapore.

International Journal of Burns and Trauma
|July 27, 2022
PubMed
Summary

Multi-planar external fixation reliably treats complex distal tibia fractures, achieving high union rates with minimal malalignment. Pin site infections were common but treatable, making it a dependable method for acute and revision cases.

Keywords:
Multi-planarcomplexdistalexternalfixationfracturetibia

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A Reliable and Reproducible Critical-Sized Segmental Femoral Defect Model in Rats Stabilized with a Custom External Fixator
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Area of Science:

  • Orthopedic Surgery
  • Trauma Management
  • Biomedical Engineering

Background:

  • Complex distal tibia fractures often require advanced fixation techniques.
  • Multi-planar external fixation provides a versatile approach for these challenging injuries.

Purpose of the Study:

  • To evaluate the efficacy of Ilizarov, Taylor Spatial Frame, and True-Lok Hex external fixation for distal tibia fractures.
  • To analyze outcomes including union rates, malalignment, and complications.

Main Methods:

  • Retrospective analysis of 13 distal tibia fracture cases treated with multi-planar external fixation over 3 years.
  • Inclusion criteria focused on high-energy injuries and revision cases.

Main Results:

  • High-energy trauma (85%) and previous fixation (62%) were common. Most fractures were AO Type 3 (77%) and open (62%).
  • Average external fixator duration was 5 months, with radiological union at 6 months.
  • Minimal malalignment (coronal: 1.3°, sagittal: 0.5°), successful joint line restoration, 16% non-union, and 15% pin site infections were observed.

Conclusions:

  • Multi-planar circular external fixation is a reliable treatment for complex distal tibia fractures in acute and revision settings.
  • High union rates and minimal malalignment are achievable.
  • Pin site infections are manageable complications.