Open tibial fractures treated by anterior unilateral external fixation

ABSTRACT

20 tibial fractures have been managed with a unilateral external fixator due to severe tissue problems. Indications, technique of stabilization and follow-up of the fractures are presented. Eleven fractures healed with external stabilization alone. In seven cases the bone healing had achieved by the help of bone graft. Two fractures fixed with an intramedullary nail. This study proves that the unilateral external fixator is a helpful and harmless device which allows quick primary stable fixation for open tibial fractures without compromising further treatment of bone as well as soft tissue. It is therefore recommended mainly for initial treatment of polytraumatized patients with difficult lower leg fractures