Intraoperative acute correction versus postoperative gradual correction for tibial shaft fractures with multiplanar posttraumatic deformities using the hexapod external fixator

Abstract Background The purpose of this study was to determine the differences in clinical outcomes, if any, between intraoperative acute correction and postoperative gradual for tibial shaft fractures with multiplanar posttraumatic deformities using hexapod external fixator. Methods We retrospectively analyzed 58 consecutive patients treated by fixator at our institution from January 2015 April 2019. Twenty-three (Group I) underwent correction, October 2016. Starting November 2016, other 35 II) all correction. demographic data, operation duration, original residual before after fixation time were collected analyzed. outcomes evaluated Johner-Wruhs criteria last visit. Results All achieved complete bone union a mean 28.7 ± 4.6 weeks (range 21 37 weeks) Group I 27.9 4.8 19 38 II ( P > 0.05). duration (88.9 7.7 min) longer than that (61.9 8.4 min), there statistically significant difference < There no two groups rate complication similar groups. statistical significance data Conclusions is Postoperative may shorten room decrease potential risk.