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A Review of the Management of Non-Unions Using Orthofix External Fixation Systems

  • M. Saleh

Abstract

In Sheffield a large tertiary referral service was developed by Professor John Sharrard in 1979 for the treatment of difficult non-unions. The Dynamic Axial Fixator (DAF) was introduced in 1982 to deal with severe, intractable cases, many of which were infected. A review of this early experience is presented in order to analyze the appropriate role and use of the DAF. The first 22 segments treated with the DAF were reviewed1 at the First Riva Congress in 1986 on recent advances in external fixation. Fractures were held in neutralization but post-operative compression was employed in some instances, using the fixator’s compression-distraction device. The overall healing rate was 62.5 per cent and although fractures treated by progressive compression healed, undesirable angulation occurred.

Keywords

External Fixation Varus Deformity Intramedullary Fixation Progressive Compression Anterior Angulation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Sharrard WJW, Saleh M. ‘The Dynamic Axial Fixator in the Treatment of Non-union and Pseudarthrosis’. First Riva Congress: Recent Advances in External Fixation. Riva del Garda, Italy, 28–30 September 1986; Abstract Book, p. 92–3.Google Scholar
  2. Saleh M. ‘The Treatment of Non-unions with the Dynamic Axial Fixator’. Conference: Evolution of External Fixation and Orthofix: From Static to Dynamic. University of Montpellier, Montpellier, France, 28–30 June 1990; Abstract Book, p. 177.Google Scholar
  3. Saleh M. ‘Treatment of non-union of fractures with the DAF’. Second Riva Congress: Current Perspectives in External and Intramedullary Fixation. Riva del Garda, Italy, 27–31 May 1992; Abstract Book, p. 140.Google Scholar
  4. 4.
    Saleh M, Royston S. ‘Management of non-union of fractures by distraction with correction of angulation and shortening’.J Bone Joint Surg[Br] 1996; 78-B: 105–9.Google Scholar
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    Saleh M, Rees AR. ‘Bifocal surgery for deformity and bone loss -bone transport and compression-distraction compared’.J Bone Joint Surg[Br] 1995; 77-B: 429–34.Google Scholar
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    Ribbans WJ, Stubbs DA, Saleh M; ‘Non-union surgery Part II. The Sheffield experience - 100 consecutive cases Results and lessons’.Int J Orthop Trauma 1992; 2: 19–24.Google Scholar

Copyright information

© Springer-Verlag London Limited 2000

Authors and Affiliations

  • M. Saleh

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