Hybrid external fixator for proximal tibia fractures-tips and tricks

Abstract

Proximal tibia fractures are usually caused by high energy mechanisms. These fractures are associated with many problems; one of the most common being contusion or crush injury to the soft tissues. One of the recommended methods of management is the Hybrid external fixator as a definitive management in these complex fractures, where soft tissue compromise may limit open reduction as a modality. Wire introduction under C-arm and confirmation using different conventional and modified views to check their placement has been discussed in this paper. To check the exact placement of wires within the joint even when the antero-posterior view may show the wires to be away from the joint, this modified view is more confirmative.