Circular external fixator application for midshaft tibial fractures: Surgical technique

Abstract

The use of fine wire circular external fixation has recently undergone a resurgence in popularity among orthopaedic trauma and reconstructive surgeons. Their modularity, biomechanical characteristics and minimally invasive application make these fixators indispensable for complex trauma and post-traumatic limb reconstruction. The application of these fixators is technically demanding and a steep learning curve exists. This article aims to provide a simplified, stepwise approach to the application of a circular external fixator to the tibia.