[First application of Roudko's (U.S.S.R.) apparatus in France; external fixator for mandibular fracture].
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Vacuum-assisted closure (VAC) therapy is a widely used method to promote granulation tissue in lower-extremity wounds. However, maintenance of a tight seal over irregular surfaces is difficult, especially around ring fixators. The presented technique in this article offers a time-saving and safe method to achieve an airtight seal around circular fixator in VAC therapy.
25 patients with injuries of the hand were treated by a new external minifixator. A specific joint bridging construction makes it possible to treat severe joint fractures by ligamentotaxis. Another indication is the preoperative continuous elongation treatment in severe contractures of the fingers. The minifixator can be made dynamic and can also be used for interfragmental compression or distraction.
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