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External fixators, particularly hinged devices, are effective for managing severe comminuted, intra-articular elbow fractures, especially when internal fixation is challenging due to instability, soft tissue damage, or severe comminution. They allow for early motion while maintaining joint stability and alignment, often resulting in decent range of motion (average 81-84°). 
Key Aspects of External Fixation for Elbow Fractures: 
  • Indications: Used for severe comminuted fractures, fracture-dislocations, and as a temporary stabilization technique in "damage control" situations.
  • Hinged External Fixators (HTEF): Specialized, hinged, transarticular systems are designed to permit elbow flexion/extension while maintaining stability and protecting repaired soft tissues.
  • Clinical Outcomes: While they may lead to a higher rate of complications (e.g., pin-site infection), they offer a good functional recovery for complex injuries.
  • Treatment Approach: Often used in cases where early mobilization is necessary, as prolonged immobilization of the elbow leads to stiffness. 
Benefits and Considerations: 
  • Stability & Motion: Articulated fixators allow for immediate, controlled range of motion, reducing the risks of permanent stiffness.
  • Soft Tissue Management: Useful in open fractures or severe soft tissue swelling where early extensive surgery is not possible.
  • Complications: Pin-site infections are common but usually treatable.
  • Comparison: While not always the first-line treatment for simple fractures, they provide a reliable, stable option for complex reconstructions. 
  • Unilateral hinged external fixator of the elbow in complex ...
    Nov 15, 2004 — The application of an external fixator around the elbow joint in trauma cases is not the best treatment option but it may be neces...
    ScienceDirect.com
  • Elbow Temporary joint-spanning external fixation before internal ...
    Oct 15, 2012 — * Materials and methods. Four fellowship-trained orthopedic surgeons (1 [D.R.] in hand and 3 [P.K., D.L. D.L.H.] in trauma) review...
    ScienceDirect.com
  • Use of an elastic transarticular external fixator construct for ... - PMC
    Hinged transarticular external fixator (HTEF) restricts motion to a single plane parallel to the joint's plane of motion (2,4). El...
    PubMed Central (PMC) (.gov)
  • A New Articulated Elbow External Fixation Technique for Difficult ...
    Jan 1, 2000 — Skeletal fixation to the humerus and the ulna combined with a hinge aligned with the axis of rotation permits elbow movement throu...
    National Institutes of Health (.gov)
  • A New Articulated Elbow External Fixation Technique for ...
    Abstract. Articulated external fixation of the elbow allows aggressive elbow range of motion while protecting the joint and periar...
    PubMed Central (PMC) (.gov)
  • Good Functional Recovery of Complex Elbow Dislocations Treated ...
    A hinged external elbow fixator provides enough stability to start early mobilization after an acute complex elbow dislocation and...
    PubMed Central (PMC) (.gov)
  • External Fixators | International Center for Limb Lengthening
    Pin-site infections are the most common problem associated with external fixation treatment. Pin-site infections begin at the leve...
    International Center for Limb Lengthening
  • Unilateral hinged external fixator of the elbow in complex ...
    Nov 15, 2004 — The application of an external fixator around the elbow joint in trauma cases is not the best treatment option but it may be neces...
    ScienceDirect.com
  • Elbow Temporary joint-spanning external fixation before internal ...
    Oct 15, 2012 — * Materials and methods. Four fellowship-trained orthopedic surgeons (1 [D.R.] in hand and 3 [P.K., D.L. D.L.H.] in trauma) review...
    ScienceDirect.com
  • Use of an elastic transarticular external fixator construct for ... - PMC
    Hinged transarticular external fixator (HTEF) restricts motion to a single plane parallel to the joint's plane of motion (2,4). El...
    PubMed Central (PMC) (.gov)
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Web results

External fixation about the elbow: Indications and long-term ...


National Institutes of Health (.gov)
https://pmc.ncbi.nlm.nih.gov › articles › PMC10821167
National Institutes of Health (.gov)
https://pmc.ncbi.nlm.nih.gov › articles › PMC10821167
by AR Deemer · 2024 · Cited by 3 — The use of external fixation about the elbow is associated with significantly worse initial injuries and results in poorer outcomes.Read more

External Fixation Elbow Technique Animation


Orthobullets
https://www.orthobullets.com › video › view
Orthobullets
https://www.orthobullets.com › video › view
May 3, 2024 — This video unveils the advanced features, including a hinge structure for seamless assembly, over-articulation external fixation for precise adjustments.Read more

A New Articulated Elbow External Fixation Technique for ...


PubMed Central (PMC) (.gov)
https://pmc.ncbi.nlm.nih.gov › articles › PMC1888190
PubMed Central (PMC) (.gov)
https://pmc.ncbi.nlm.nih.gov › articles › PMC1888190
by F von Knoch · 2001 · Cited by 29 — A technique for aligning a monolateral hinged fixator to the rotational axis of the elbow without the use of an invasive axis pin has been developed.Read more
Missing: articular ‎| Show results with: articular

Elbow external fixation system - All medical device ...


Medical EXPO
https://www.medicalexpo.com › Orthopedic surgery
Medical EXPO
https://www.medicalexpo.com › Orthopedic surgery
The UniX Elbow Fixator is a solution for post-traumatic elbow stiffness and some acute elbow trauma cases. Its unilateral design provides an easy fixation.Read more

Unilateral hinged external fixator of the elbow in complex ...


ScienceDirect.com
https://www.sciencedirect.com › article › abs › pii
ScienceDirect.com
https://www.sciencedirect.com › article › abs › pii
by P Stavlas · 2004 · Cited by 98 — We present the outcome of treating complex injuries of the elbow with the “Orthofix” external fixator in patients where the condition of the soft tissues ...Read more

ORIF - Plate fixation for Complete articular fracture, simple ...


AO Foundation Surgery Reference
https://surgeryreference.aofoundation.org › adult-trauma
AO Foundation Surgery Reference
https://surgeryreference.aofoundation.org › adult-trauma
Plating with precontoured periarticular locking plates provides angular-stable fixation and is the most commonly used method of distal humeral fracture fixation ...Read more

EBI® XFIX® DFS® OptiROM® Elbow Fixator


U.S. Food and Drug Administration (.gov)
https://www.accessdata.fda.gov › cdrh_docs › pdf2
U.S. Food and Drug Administration (.gov)
https://www.accessdata.fda.gov › cdrh_docs › pdf2
PDF
May 23, 2002 — The EBI XFIX DFS OptiROM Elbow Fixator is intended for use in upper extremity treatment of bone and soft tissue conditions and other bone ...Read more

Elbow Fragment External Fixator


Orthopedic Drills
https://www.orthopedicdrills.com › product › elbow-fra...
Orthopedic Drills
https://www.orthopedicdrills.com › product › elbow-fra...
Includes 4 x 5*110mm pins for secure fixation – Comes with 3mm and 5mm hex wrenches for assembly – Includes a 6mm screwdriver for precise adjustmentsRead more
$330.00

External Fixation Elbow Technique Animation


YouTube · Double Medical Technology Inc.
7.9K+ views · 2 years ago
YouTube · Double Medical Technology Inc.
7.9K+ views · 2 years ago
Ideal for elbow open fractures, anchylosis, intra-articular fractures, peri-elbow joint fractures ... External Fixator Procedure For Tibia ...Read more

External Fixator for Elbow Comminuted intra-articular ...


Double Medical
https://www.doublemedicalgp.com › product-tag › exte...
Double Medical
https://www.doublemedicalgp.com › product-tag › exte...
The design of External Fixator for Elbow has hinge structure for easy assembling and fit to anatomy, over-articulation external fixation for finely adjusting ...Read more
External Fixator for Elbow Comminuted intra-articular fractures from www.doublemedicalgp.com
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