The use of external fixators: a review of literature and experiences in a developing world.
BACKGROUND
The introduction of external fixation devices has brought significant improvement in the management of complex open fractures. Its importance and versatility ranges from its use as temporary fixation device in fractures with soft tissue and vascular injuries to its use in definitive correction of limb length deformities and congenital malformations. It avoids extensive soft tissue damage and enhances easy management of associated soft tissue injuries.


METHODS
This was an overview of the clinical experience at the University of Calabar Teaching hospital and a review of literature.


RESULTS
The paper highlight the usefulness of external fixation devices and the need to encourage its use in the developing world. It also stresses the constraints encountered in a Nigerian teaching hospital.


CONCLUSIONS
A call is made to all surgeons particularly those in rural areas to make use of this simple appliances after due training. Government should equip the hospitals with these tools and encourage the fabrication of such in our environment.
Udosen
A M
AM
Department of Surgery, College of Medical Sciences, University of Calabar, University of Calabar Teaching Hospital, Calabar, Nigeria.
Ogbudu
S
S
D003906:Developing Countries; D016267:External Fixators / Q000706:statistics & numerical data*; D050723:Fractures, Bone / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery*; D006785:Hospitals, University; D006801:Humans; D009549:Nigeria; D014600:Utilization Review