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The use of external fixation devices in orthopedic surgery is very common in open tibial fractures.
Interbody spinal fusion relies on the use of external fixation and the placement of a fusion cage filled with graft materials (scaffolds) without regard for their mechanical performance.
The use of external fixation devices to elevate the lower limb and foot is not new; however, current designs are difficult to construct, relatively unstable, do not allow weightsharing, and can not be used to concomitantly reconstruct underlying osseous deformities.
Limb lengthening by callus distraction is commonly performed with the use of external fixation.
Pin track-associated complications are almost universal findings with the use of external fixation.
Distraction osteogenesis is dependent on the use of external fixation mainly.
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We conclude that nailing is a potential solution for regenerated bone and docking site problems but, if used after prolonged periods of external fixation, may necessitate antibiotic therapy for at least 10 days after the fixator has been removed.
Similarly, studies using a different form of external fixation and studies with an unclear definition of unstable fractures were excluded as well [20].
Several studies have compared dorsal plating (Grewal et al. 2005, Kateros et al. 2010), fragment-specific systems (Abramo et al. 2009), or a mixture of dorsal and volar plating techniques (Kreder et al. 2005, Leung et al. 2008) with external fixation, but there is no substantial evidence to support the use of internal fixation instead of external fixation (Margaliot et al. 2005).
Most of the patients with disturbed theatre dressing during the first postoperative week needed antibiotic treatment during the time of external fixation and used more of antibiotic using the same method of pin-site care.
The present study was conducted using the minimally invasive technique of external fixation for the management of both pertrochanteric and basicervical fractures in elderly high-risk patients.
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