OBJECTIVE To establish an optimal single hinge axis position for application of hinged external fixation to the elbow joint. DESIGN Cadaveric biomechanical investigation. SETTING A customized motion transducer applied passive elbow motion to six cadaveric upper extremities. The instant rotation axis of the humero-ulnar articulation was determined from three-dimensional kinematic data acquir...

BACKGROUND In children, inappropriate treatment of open femoral fractures may induce several complications. A few studies have compared the external fixator with flexible intramedullary nails in high-grade open femoral fractures of children. The present study aims at comparing results of these two treatment methods in open femoral fractures. METHODS In this descriptive analytical study, 27 pa...

BACKGROUND There are no established guidelines for the surgical prep of an external fixator in the operative field. This study investigates the effectiveness of different prep solutions and methods of application. METHODS Forty external fixator constructs, consisting of a rod, pin, and pin to rod coupling device, were immersed in a broth of Staphylococcus aureus (lux) for 12 hours. Constructs...

BACKGROUND The rigid equinovarus foot deformity is a challenging condition treated by the orthopaedic foot and ankle surgeon. Rapid surgical correction of the deformity may lead to skin and neurologic complications. Gradual correction of the deformity with a multiplanar external fixator may decrease these complications. The purpose of this study was to present the results of a group of patients...

A finite element model of fractured tibia with Joshi’s External Stabilizing System (JESS) mounted on it was developed using 3D beam elements in the ANSYS software. The model was loaded in axial compression and the average axial stiffness of the model was calculated. The analytical value of axial stiffness was compared with reported experimental value to validate the finite element model. The va...

We retrospectively reviewed 60 fractures of the tibial plafond treated by either an ankle-sparing diaphyseal-epiphyseal technique using the Ilizarov ring fixator or by an ankle-spanning technique using a monolateral articulated external fixator. The Ilizarov ring fixator was applied in 24 fractures and the monolateral articulated transarticular external fixator in 20. Both techniques were combi...

..Objective: To assess the radiological and functional outcome of external fixator in the treatment of intar-articular fractures of distal radius. Study design: Descriptive case series. Place and duration of study: Orthopaedic unit District Headquarter Hospital Temargarha Lower Dir from March 2013 to March 2014. Material and methods: Twenty five patients of intra-articular fracture distal radiu...

The technique of compression distraction induced osteogenesis via the Ilizarov external fixator system has been used for a variety of traumatic limb pathologies that necessitate boney union and limb preservation. In this case report, we describe an uncommon scenario were an Ilizarov external fixator was used to treat an infected nonunion following a below knee amputation.

OBJECTIVES In this study, we aimed to answer the following questions: (i) Do patients with tibial pilon fractures treated with an ankle hinge Ilizarov external fixator have a better ankle function versus ankle fixed? (ii) Is the incidence of posttraumatic arthrosis lower in patients treated with an ankle hinge Ilizarov external fixator? PATIENTS AND METHODS Between April 2002 and January 2008...