Modified Extended External Fixator Frame for Leg Elevation in Trauma

Author:

Sawant Venkatesh Rajaram1ORCID,Gharwade Chandrakant Rambhau1

Affiliation:

1. Department of Plastic Surgery, Grant Medical College and Sir J Group of Hospitals, Mumbai, Maharashtra, India

Abstract

AbstractLower extremity trauma is very often managed by applying an external fixator to stabilize the fracture site. These limbs very frequently require multiple surgeries, which predisposes them to problems like heel pressure sore, equinus deformity and limb edema. These complications prolong the healing time and create obstacles in rehabilitation. Our aim was to modify the usual uniplanar external fixator in such a way that it is able to provide stable limb elevation and also keep the leg and the foot in such a position, so as to avoid the above-mentioned complications. We used our frame in 10 patients and none of our patients developed heel ulceration or equinus deformity. We found that the frame enables easier daily examination of the wound and improves patient comfort during dressing changes.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

Reference7 articles.

1. Using an external fixation “kickstand” to prevent soft-tissue complications and facilitate wound management in traumatized extremities;M J Berkowitz;Am J Orthop,2008

2. The use of a kickstand modification for the prevention of heel decubitus ulcers in trauma patients with lower extremity external fixation;O E Castro-Aragon;J Orthop Trauma,2009

3. Posttraumatic edema of the lower extremities: evaluation of the lymphatic vessels with magnetic resonance lymphangiography;C Lohrmann;J Vasc Surg,2009

4. Treatment of posttraumatic equinus deformity and concomitant soft tissue defects of the heel;H Shu;J Trauma,2011

5. Cast and splint immobilization: complications;M Halanski;J Am Acad Orthop Surg,2008

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