Management of an open tibia fracture with an external fixator
How to debride a tibia and apply an exfix
External fixators in other regions
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Pelvic reduction clamp. Used for emergency reduction of unstable open book pelvic fractures |
An exfix is an effective, and potentially life saving procedure in open book type pelvic fractures. A Gantz clamp is placed over the pelvis with the pins over the sacro ilaic joint. It will effectively reduce the fracture and prevent haemorrage.
Forearm fractures
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![Ball joint allows wrist movement](wrist_exfix.jpg)
Distal radius fractures can be stabilised and held at length by means of an exfix from the proximal radius to the second metacarpal bone.
The indication a comminuted fracture of the distal radius with loss of length. In the forearm closed as well as open fractures can be treated by this method.