Management of high-energy tibial shaft fractures using the hexapod circular external fixator

Abstract Background The hexapod external fixator (HEF) is increasingly used for high-energy tibial shaft fracture care as more general orthopedic surgeons are gaining expertise of this versatile device. purpose study was to evaluate the clinical effectiveness HEF definitive management in patients with fractures. Methods conducted on 34 fractures who were admitted or referred our institution and consented treatment from Jan 2016 June 2019, including 27 males 7 females a mean age 39 years (range 18 65 years). Patients' radiological data, final outcomes at minimum 12 months follow-up collected retrospectively analyzed. All complications documented according Paley’s classification. evaluated using Association Study Application Method Ilizarov criteria (ASAMI) last visit. Results remained 26 weeks 15 52 weeks) acquired complete bone union. satisfactory alignment achieved all patients, able perform daily activities no difficulty Complications included pin tract infection (44%), delayed union (6%), nonunion (3%), joint stiffness (3%). ASAMI bony result excellent 31 good 3. functional 6, fair 1. Conclusions Definitive an alternative effective method fractures, technical advantages early trauma-control, versatility achieving alignment, continuity device until