This is a lecture presentation on applying external fixator on open fracture specially on tibia. This method is a classical method. Various new and dynamic fixators are there but the basics are the same.

1. External Fixator

9. Today's Fixators

15. Basic Components

17. Required instruments

24. External fixation as final fixation

27. IM nails vs External fixator Henley (Clin. Orth., 1989) randomised study of 104 case II-IIIB tibial fractures by unreamed IM nail; 70 treated by external fixation. Infection rates 7% IM nail, 11% external fixation. There was no difference in time to union. Follow up in 1998 (Journal Orth. Trauma.): “The severity of soft tissue injury rather than the choice of implant appears to be the predominant factor influencing rapidity of bone healing and rate of infection”.

29. Tibial Safe Zone Proximal part of the proximal tibia

30. Tibial Safe Zone Proximal 3 rd distal to tibial tuberosity

31. Tibial Safe Zone Mid Shaft

32. Tibial Safe Zone Distal 3 rd distal of tibial Shaft

33. Schanz screw insertion

34. Schanz screw insertion for Metaphysis

42. In the OT

43. In the OT Open fracture Gustilo IIIB with Fixator

44. In the OT Flap Coverage

46. Ilizarov External Fixator.

47. Ilizarov External Fixator.

48. Ilizarov External Fixator.

50. UMEX

52. Modular variety of External Fixator

53. Other variety of External Fixator Synthes Adjustable Tibial exfix Hoffman II external fixation system

56. Thank You