"Nailable" External Fixation of the Tibia: A Novel Technique to Accommodate Delayed Intramedullary Nailing of the Tibia. Issue 11 (November 2020)

• Record Type: Journal Article
• Authors: Savage-Elliott, Ian; Wu, Victor J.; Nguyen, Lan N.; Martin, Murphy P.; Gladden, Paul B.
• Is Part Of: Journal of orthopaedic trauma. Volume 34:Issue 11(2020)
• Publication Date: 2020-11
• Subjects: external fixation -- technical tricks -- intramedullary nailing -- tibia fractures; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000001768
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Summary: External fixation is often used for temporary stabilization of the tibia in several clinical scenarios. Conventional placement of external fixation pins may impede instrumentation with intramedullary nailing, thus requiring pin removal, loss of reduction, and increased operative time during definite fixation. In this article, we describe a strategic pin placement routinely used at our institution in which we create a medially based inverted triangular construct that allows for pins to remain in place during definitive fixation. Abstract : Supplemental Digital Content is Available in the Text.