Circular Hexapod External Fixation for Periprosthetic Tibial Fracture

Overview

Journal Arthroplast Today

Publisher Elsevier

Date 2018 Jun 14

PMID 29896552

Citations 5

Authors

Michael J Assayag

Noam Bor

Guy Rubin

S Robert Rozbruch

Affiliations

Soon will be listed here.

Abstract

A poor soft tissue envelope often accompanies periprosthetic tibia fracture around a well-fixed total knee arthroplasty and the tibial stem leaves little room for screw fixation. This article describes the practicability and effectiveness of a novel surgical technique using circular hexapod external fixation, in patients with this clinical scenario. It was applied for fixation of periprosthetic tibia fracture in 2 patients. Contact between the external fixation pins and the prosthesis was avoided. Using a web-based software program, a gradual reduction in all planes was achieved. Adequate fixation, stability, reduction, and quick healing were obtained in the 2 cases, with minimal complications. The patients returned to their activity level a few months after external fixation removal.

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