The modular external fixator is optimal for temporary use. It is rapidly applied without need for intraoperative x-rays and can be adjusted later.
The joint-bridging modular external fixator for distal tibial fractures consists of two partial frames, one along the tibia and one medial on the calcaneus or calcaneus and talus.
Details of external fixation are described in the basic technique for application of modular external fixator.
Specific considerations for joint-bridging modular external fixation, the distal tibia and the foot are given below.