Schmidt H G, Exner G, Leffringhausen W, Johne B, Zimmer W
Aktuelle Traumatol. 1982 Apr;12(2):69-77.
Osteosynthesis with fixateur externe is indicated in unstable, infected fractures, infected pseudarthroses and defect pseudarthroses, second-degree and third-degree open fractures as well as closed or unstable old fractures and pseudarthroses with marked damage of the soft parts, as well as in all arthrodeses of the knee joint or ankle joint (foot arthrodeses). The main field of application is the shaft of the lower leg with its adjacent joints. To achieve satisfactory stability, mounting should always be three-dimensional and numerous additional details must be taken care of, all of which are described in this article. Whereas in the case of an infection no change of osteosynthesis is permissible after external fixation, it should be considered under certain conditions in the aseptic range. Results and complications after 123 aseptic and 88 septic osteosyntheses with fixateur externe during the last 5 years are described in detail and discussed.
外固定架骨接合术适用于不稳定的感染性骨折、感染性假关节和缺损性假关节、二度和三度开放性骨折以及伴有软组织明显损伤的闭合性或不稳定陈旧性骨折和假关节，以及膝关节或踝关节的所有关节固定术（足部关节固定术）。其主要应用领域是小腿骨干及其相邻关节。为了获得满意的稳定性，固定应始终是三维的，并且必须注意许多额外的细节，本文将对所有这些细节进行描述。在感染情况下，外固定后不允许改变骨接合术，但在无菌范围内的某些条件下应予以考虑。详细描述并讨论了过去5年中123例无菌性和88例感染性外固定架骨接合术的结果和并发症。
