A NEW EXTERNAL FIXATION SYSTEM FOR TIBIAL SHAFT FRACTURES

Introduction: In a new external fixation system for tibial fractures, accurate reduction was achieved with a complex temporary device, the Staffordshire Orthopaedic Reduction Machine (STORM) following which the fracture was fixed using a simple titanium bar fixator (IOS). The fixator was designed to allow controlled bending to optimise movement at the fracture site for callus growth. Ideal mechanical properties are approached: elastic return is to the reduced position; epicentric placement minimises shear and distraction on weightbearing. Integral healing assessment measures bending stiffness. The device is single-use.