A new application technique of circular fixator for the treatment of open tibial fractures: Circular fixator-hinge technique

Background: The purpose of this study is to introduce a hinge-fixator technique for the treatment of open tibial fractures, which has advantages in application and also in the follow up period.
Method: The technique was used in 14 open tibia fractures of 14 adult patients. Using this method, the anatomic reduction achieved initially and temporary stability were obtained on the hinge-fixator, and after fixator applications were completed. Patients’ radiological and clinical results were evaluated according to the Paley’s criteria at the time of last follow-up.
Results: Patients were followed up 5.4 years. According to Paley, two patients had good and 12 patients had excellent radiological results and 13 patients had excellent and one patient had good functional results.
Conclusion: The hinge-fixator technique is a fast and easy method with a shorter operation time, lesser radiation exposure, shorter hospital stay, longer follow up visit intervals, and makes the treatment period more comfortable.
Key words: tibia fracture, circular fixator, hinge technique