PMC3952871_01
Hexapodal external fixator.
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The continuity of the stabilization between the articular surface and the tibial diaphysis was then obtained by application of a hexapodal external fixator (Smart Gotham, New Jersey, USA). (Figure 1) None of the patients had any vascular or neural lesions at the time of admittance.
AP view of the knee of a 39 years old man showing compound intraarticular tibia fracture.
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Two of the patients were type 5, and the other was type 6. (Figures 2 and 3) The clinical results of our cases were evaluated according to the Knee Society Criteria.
Frontal CT image of the knee showing compound intraarticular tibia fracture.
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Two of the patients were type 5, and the other was type 6. (Figures 2 and 3) The clinical results of our cases were evaluated according to the Knee Society Criteria.
AP view of the knee which joint line was anatomically fixed with headless cannulated screws.
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Once the joint line was anatomically repositioned, confirmed by fluoroscopic control, the fragments were fixed with two or three headless cannulated screws (Acumed, Oregon, USA), as needed. (Figures 4 and 5) After the joint line was stabilized, the external fixator system consisting of two rings was applied to complete the osteosynthesis.
Lateral view of the knee which joint line was anatomically fixed with headless cannulated screws.
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Once the joint line was anatomically repositioned, confirmed by fluoroscopic control, the fragments were fixed with two or three headless cannulated screws (Acumed, Oregon, USA), as needed. (Figures 4 and 5) After the joint line was stabilized, the external fixator system consisting of two rings was applied to complete the osteosynthesis.
AP view of the knee which proximal part of fracture was fixed with cross Schanz pins and one K wire.
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Two cross Schanz pins and one K wire were used to fix the proximal ring to the proximal tibia. (Figures 6 and 7) The two rings were connected using the six axis system.
Lateral view of the knee which proximal part of fracture was fixed with cross Schanz pins and one K wire.
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Two cross Schanz pins and one K wire were used to fix the proximal ring to the proximal tibia. (Figures 6 and 7) The two rings were connected using the six axis system.
AP view of the tibia with Schanz pins which were used to fix the distal ring to the tibia.
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AP of the knee at the 1st postoperative day.
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The residual deformity was calculated on the postoperative anteroposterior and lateral X-rays. (Figures 9 and 10) Control X-rays were obtained on the fifth day postoperative. (Figures 11 and 12)
Lateral view of the knee at the 1st postoperative day.
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The residual deformity was calculated on the postoperative anteroposterior and lateral X-rays. (Figures 9 and 10) Control X-rays were obtained on the fifth day postoperative. (Figures 11 and 12)
AP view of the knee after the deformity was corrected at the 5th postoperative day.
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Lateral view of the knee after the deformity was corrected at the 5th postoperative day.
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