[External fixation of the tibial with primary full weightbearing].
The external fixation of open fractures of the tibia has many advantages. Nevertheless by many surgeons it is used only as a temporary emergency fixation. There are two main problems to be solved: delayed fracture healing and pin-track infections. It is widely known that physiological weight-bearing leads to a better fracture healing. Weight-bearing needs stability. For transverse and even short oblique fractures of the tibia correct reduction and a good external fixation gives enough stability to stand on the leg completely. 27 patients with such fractures have been externally fixated during the last 5 years. With immediate weight-bearing the healing time was only 12 weeks on an average.
Dolder
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Klinik für Unfallchirurgie, Universitätsspital Zürich.
D016267:External Fixators; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016474:Weight-Bearing / Q000502:physiology*; D014945:Wound Healing / Q000502:physiology*
Externe Fixation des Unterschenkels mit primärer Vollbelastung.