External Fixator
With circular fixation you and your patients often feel comfortable enough to weight bear well before your internal fixation patients weight bear3.
Fine, ongoing corrections to the reduction are possible while wearing the fixator. Soft tissue can be treated, reduction tweaked, compression increased, distraction accomplished – whatever you deem best for the patient and the treatment of their entire injury. Infinite adjustment of the reduction is possible without ever heading back to the OR.
References
3. Short-term outcomes of severe open wartime tibial fractures treated with ring external fixation. Keeling JJ, Gwinn DE, Tintle SM, Andersen RC, McGuigan FX. J Bone Joint Surg Am. 2008 Dec;90(12):2643-51.