In cases where it is not possible to proceed to early definitive
osteosynthesis (polytrauma, soft-tissue problems, patient condition, limited
resources), a spanning external fixator is often used. A long leg splint can
also be applied.
Temporary, proximal tibial, skeletal traction is reserved for those cases in
which it is not possible to place a spanning external fixator, or use a long
Care should be taken to protect pressure points on the skin.