title: Using an external fixation "kickstand" to prevent soft-tissue complications and facilitate wound management in traumatized extremities.
abstract: External fixation represents an extremely effective and versatile means of treating severe musculoskeletal injuries of both upper and lower extremities, particularly in austere environments. A relatively simple modification of standard external fixation techniques can facilitate the care of complex soft-tissue wounds and prevent unnecessary wound complications. Additional carbon bars can be attached to the primary construct to create a "kickstand" that can effectively support the extremity and eliminate the risk for pressure ulcers. This kickstand modification, which also allows improved access for wound care and dressing changes, has proved to be an effective adjunct in the treatment of high-energy extremity trauma.
authors.affiliation: Foot and Ankle Section, Orthopaedic Surgery Service, Tripler Army Medical Center, Honolulu, HI 96859, USA. mark.j.berkowitz@us.army.mil
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Berkowitz
authors.forename: David H
authors.initials: DH
authors.lastname: Kim
mesh_terms: D000328:Adult; D016267:External Fixators; D005121:Extremities / Q000293:injuries / Q000601:surgery; D005260:Female; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control*; D017695:Soft Tissue Injuries / Q000209:etiology / Q000517:prevention & control*; D014945:Wound Healing; D014947:Wounds and Injuries / Q000601:surgery*