Intraoperative Use of External Fixator Attachments for Reduction of Lower Extremity Fractures and Dislocations. 2017

Charles F Land, and William J Rosenblum, and Justin Kennon
Medical College of Georgia, Augusta University, Augusta, GA. cland@augusta.edu.

The mainstay of complex open lower extremity fractures and dislocations is the temporizing external fixator. We propose the use of external fixator attachments that allow for the reduction of fractures and dislocations intraoperatively. By using external fixator carbon fiber rods, the surgeon is able to create a capital "T" (sweet T) shaped attachment and connect this to a Schanz pin. Simultaneously, the external fixator carbon fiber rods can be configured into the shape of a capital Greek letter pi (Cherry II) and applied to an external fixator pin. When both of these configurations are used, multi-directional forces can be applied across the fracture fragments with the added benefit of using extrinsic hand muscle power for force generation and manipulation of fracture fragments to facilitate reduction.

UI MeSH Term Description Entries
D004204 Joint Dislocations Displacement of bones from their normal positions at a joint. Inferior Dislocation,Joint Subluxations,Luxatio Erecta,Dislocation, Joint,Dislocations, Joint,Inferior Dislocations,Joint Dislocation,Joint Subluxation,Subluxation, Joint,Subluxations, Joint
D005592 Fracture Fixation The use of metallic devices inserted into or through bone to hold a fracture in a set position and alignment while it heals. Skeletal Fixation,Fracture Reduction,Fixation, Fracture,Fixation, Skeletal,Fixations, Fracture,Fixations, Skeletal,Fracture Fixations,Fracture Reductions,Reduction, Fracture,Reductions, Fracture,Skeletal Fixations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016267 External Fixators External devices which hold wires or pins that are placed through one or both cortices of bone in order to hold the position of a fracture in proper alignment. These devices allow easy access to wounds, adjustment during the course of healing, and more functional use of the limbs involved. Fixation Devices, External,Device, External Fixation,Devices, External Fixation,External Fixation Device,External Fixation Devices,External Fixator,Fixation Device, External,Fixator, External,Fixators, External
D050723 Fractures, Bone Breaks in bones. Bone Fractures,Broken Bones,Spiral Fractures,Torsion Fractures,Bone Fracture,Bone, Broken,Bones, Broken,Broken Bone,Fracture, Bone,Fracture, Spiral,Fracture, Torsion,Fractures, Spiral,Fractures, Torsion,Spiral Fracture,Torsion Fracture
D035002 Lower Extremity The region of the lower limb in animals, extending from the gluteal region to the FOOT, and including the BUTTOCKS; HIP; and LEG. Extremity, Lower,Lower Limb,Membrum inferius,Extremities, Lower,Limb, Lower,Limbs, Lower,Lower Extremities,Lower Limbs

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