Defininitive Damage Control Orthopedics of Complicated Metadiaphyseal Tibial Fractures with Locked Externalized Stabilization. A Novel Surgical Approach

Complicated metadiaphyseal tibial fractures (CMTF) present a heterogeneous group of injuries for which the surgical approach is determined by the type of fracture personality and the degree of injured surrounding soft tissues. Due to the high variability of these fractures, following the golden operative algorithms is not always appropriate. Standard surgical methods are followed by low, but persistent rate of severe complications. These unsolved problems motivated us to investigate and apply a novel minimally invasive surgical technique, which we named One-Staged Locked Externalized Stabilization (OLES). It is based on Perren`s concept for secondary bone union according to the computational results from our biomechanical experimental Finite Element Model (FEM).