External Fixator
External and internal fixation methods yield similar clinical outcomes in fracture management. However, the severity of a fracture is judged based on both the soft-tissue injury and the fracture itself. When the soft-tissue is at risk, you may tilt the treatment decision toward the use of circular fixation.
Circular fixation will allow you to start your definitive treatment right away, even in the presence of soft-tissue complications. By definition, external fixation enables percutaneous reduction, percutaneous fixation and is minimally invasive to soft tissues. And, with definitive treatment started, it is still possible to safely reduce or treat any soft-tissue complications1,2.
References
1.On the timing of soft-tissue reconstruction for open fractures of the lower leg. Hertel R, Lambert SM, Müller S, Ballmer FT, Ganz R. Arch Orthop Trauma Surg. 1999;119(1-2):7-12.
2. The timing of flap coverage, bone-grafting, and intramedullary nailing in patients who have a fracture of the tibial shaft with extensive soft-tissue injury. Fischer MD, Gustilo RB, Varecka TF. J Bone Joint Surg Am. 1991 Oct;73(9):1316-22.