previous section: 6/6 page: 4/4

6Reduction and fixation (triangular external fixation)

Alternative: Construct starting with a single tibial pin

To achieve a similar triangular construct, it is possible to start with one pin in the proximal third of the tibial crest instead of a partial frame.

Frame construction / reduction and fixation include the following steps:

  • Insertion of the tibial pin
  • Insertion of the calcaneal Steinmann pin
  • Connecting the two pins medially and laterally with two rods
  • Reduction by manipulating the calcaneal pin and fixation by tightening the clamps
  • Insertion of a stabilizing pin in the tibia proximal to the fracture through a rod-to-pin clamp on the medial rod
  • Tibiotarsal transfixation