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  • Title: [Stable joint-bridging extension of malleolar dislocations and pilon fractures with the AO pinless external fixator].
    Author: Babst R, Renner N, Rosso R, Marx A, Heberer M, Regazzoni P.
    Journal: Helv Chir Acta; 1994 Jul; 60(5):833-8. PubMed ID: 7960918.
    Abstract:
    The pinless external fixator, introduced into clinical practice for open tibial fractures, suggested itself for use as a traction substitute because of its pinless frame. The aim of this feasibility study was to replace the conventional calcaneal pin traction by a joint-bridging pinless fixator, inserted under local anesthesia. 10 patients with 6 malleolar dislocation fractures, 3 pilon tibial and 1 open distal tibial fracture were immobilised by a joint-bridging pinless fixator during 10.4 days (5-16 days) till swelling had subsided and definitive fracture treatment, consisting of plate fixation, took place. The implantation of the joint-bridging pinless fixator in local anaesthesia was well tolerated by all patients. This traction substitute offered good patient comfort and easy care. Although the provided stability was less than a conventional fixator, all patients were able to lift up their fractured extremity without pain.
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