First look for External Fixators
DYNAMIC AXIAL EXTERNAL FIXATOR ( DAF)
The Dynamic Axial External Fixator (D.A.F.) is a fixator with ball-joint and it is used primarly in acute trauma. In some instances it also permit mobilization of a joint where this has been bridged by the fixator. The Dynamic Axial External Fixators is indicated to the treatment of fractures of long bones, articular and periarticular fractures and pelvic fractures. The DAF external fixation is particularly indicated for the treatment of long bones of the lower and upper limbs in the trauma, provides the treatment of polytrauma patients with femoral fractures. The DAF is able to provide excellent stability and the option of early mobilization. It is suitable for the fractures of distal tibia. Its versatility permits simple angular adjustment at any time during fracture healing before union is solid.
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HUMERAL DYNAMIC AXIAL EXTERNAL FIXATOR (PDAF)
The Humeral Dynamic Axial External Fixator is a fixator with ball-joint and it is used primarly in acute trauma. Ball joints afford the facility to make final adjustment to the position of the fracture after application of the frame. In some instances it also permits mobilization of a joint where this has been bridged by the fixator. The Humeral Dynamic Axial external fixator is indicated to the treatment of fractures of humerus, radius and ulna in adults, fractures of the femur and tibia in children. Clamps with three screw seats connect to the body by ball-joints and the final tightening of ball- joint with wrench. Its versatility permits simple angular adjustment at any time during fracture healing before union is solid.
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DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH 135° ANGLED CLAMP
The Dynamic Axial External Fixator with 135° Angled Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The DAF with 135° clamp is used for the treatment of trochanteric, subtrocanteric or extensive diaphyseal fractures of the femur. This clamp has screw seats at angle of 135° to the transverse axis of the clamp. This enables screws to be inserted along the femoral neck while the fixator body remains parallel to the long axis of the femur.
DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH SQUARE CLAMP & 135° SQUARE CLAMP
The Dynamic Axial Fixator with Square Clamp & 135° Square Clamp are fixators with ball-joint and they are used primarly in acute trauma. The DAF with 135° square clamp is used for the treatment of trochanteric, subtrocanteric or extensive diaphyseal fractures of the femur. The square clamp distally allows to place 3 schanz pin and proximal square clamp allows to place 4 schanz pins adaptable to the pattern of the fracture including complex fractures due to the 4 pins placement in the clamp of the fixator with different orientation.
PERTROCHANTERIC EXTERNAL FIXATOR
The Pertrochanteric External Fixator is designed to be used for the rapid stabilization of trochanteric fractures in high risk cases. The fixator has two clamps. At posterior clamp the screws which are inserted along femoral neck have fixed screw seat at an angle of 115° to the longitudinal axis to enable one screw to be inserted along the axis of the neck and a single swiveling seat to enable a second screw to be inserted in a convergent mode. Anterior clamp has proximal and distal screw seats for insertion of diaphyseal screws in subtrochanteric region. Movement of the anterior clamp in the frontal plane is controlled by locking screw.
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DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH T-CLAMP
The Dynamic Axial External Fixator with T-Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The Dynamic Axial fixator is generally used with straight clamps and with T-clamps to treat fractures of the shafts or metaphysis of the long bones such as femur, tibia and humerus. It can be used with two T-clamps for anterior stabilization of the pelvis. In the fractures of distal tibial metaphysis, where there is adequate room for the introduction of screws or in pilon fractures with lesser degrees of comminution.
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PEDIATRIC DYNAMIC AXIAL EXTERNAL FIXATOR (PDAF) WITH T – CLAMP
The Pediatric Dynamic Axial External Fixator with T-Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The Pediatric Dynamic Axial external fixator with T-Clamp is indicated to the treatment of fractures of humerus, radius and ulna in adults, fractures of the femur and tibia in children. Clamps with three screw seats connect to the body by ball-joints. Its versatility permits simple angular adjustment at any time during fracture healing before union is solid.
DYNAMIC AXIAL EXTERNAL FIXATOR (DAF) WITH ANKLE CLAMP
The Dynamic Axial External Fixator with Ankle Clamp is a fixator with ball-joint and it is used primarly in acute trauma. The Dynamic Axial External Fixator with Ankle Clamp is indicated for the treatment of distal tibia and pilon fractures. With ankle modul, screws are inserted into the talus and calcaneum. Introduction of the screws is facilitated by ankle pin guide.
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LIMB LENGTHENER EXTERNAL FIXATOR
The Limb Lengthener Fixator is designed for the treatment of acute and complex trauma or limb lengthening due to fresh fracture, nonunion with major soft tissue defect, and bone loss with shortening. It is primarly used in orthopaedic applications, it is used for lengthening, bone transport, the correction of deformity and the treatment of non-union in long bone of lower limb. The limb lengthener fixator system consists of an assembly of two clamp on a rigid fixator body and can be connected by compression distraction units.
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LIMB RECONSTRUCTION EXTERNAL FIXATOR (LRS)
The Limb Reconstruction Fixator is designed for the treatment of limb reconstruction and lengthening due to fresh fracture, nonunion with major soft tissue defect and bone loss with shortening. The three main indications are bone loss with or without shortening deformity, with or without shortening and extreme shortening. It is primarly used in orthopaedics for lengthening bone transport, the correction of deformity and the treatment of non- unions in the long bones of lower limb. The LRS fixator consist of an assembly of clamp which can slide on a rigid rail and can be connected by compression distraction units.
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LIMB RECONSTRUCTION EXTERNAL FIXATOR WITH 135o CLAMP (LRS)
The Limb Reconstruction Fixator with 135° Clamp is designed for the treatment of limb reconstruction and lengthening due to fresh fracture, nonunion with major soft tissue defect, and bone loss with shortening of femur. The three main indications are bone loss with or without shortening deformity, with or without shortening and extreme shortening. It is primarly used in orthopaedics for lengthening bone transport, the correction of deformity and the treatment of non-unions in the long bone of upper limb. The LRS fixator consists of an assembly of 135 o clamp which can slide on a rigid rail and can be connected by compression distraction units.
HYBRID META – DIAPHYSEAL EXTERNAL FIXATOR
The Hybrid Fixator is designed to be used for use to stabilizing metaphyseal and articular fractures. Tensioned wires are easy to be applied in the metaphysis, with broad safe coridor to maximize wire crossing angles and provide good long term fixation in metaphyseal bone.
PELVIC DYNAMIC AXIAL EXTERNAL FIXATOR
The Pelvic Dynamic Axial External Fixator is an adjustable link system for rapid pelvic stabilisation. It is indicated particularly in definitive stabilisation of anterior instability and emergency stabilisation of complete pelvic instability.
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HIGH TIBIAL OSTEOTOMY EXTERNAL FIXATOR
High Tibial Osteotomy (HTO) is an accepted treatment for unicompartmental osteoarthritis of the knee. Opening wedge high tibial osteotomy using HTO external fixator is an conventional technique. This fixator is also used for limb lengthening and correction of deformities by callus distraction.
ELBOW EXTERNAL FIXATOR
The Elbow Fixator is designed to be used for fracture dislocation of elbow. It obtains controlled movement about the axis of rotation of the elbow joint. It is minimally invasive and rapidly applied.
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ARM & WRIST EXTERNAL FIXATOR
The Arm & Wrist Fixator in trauma applications is periarticular and articular fractures of distal radius. The orthopaedic applications are correction of deformity of the distal radius and treatment of wrist. For wrist fixator with a compression-distraction module on the metacarpal side and a gliding module on the radial side is used. Lightweight and low profile fixator. Permits rapid application. Provides definitive treatment. Double ball-joint allows final reduction after fixator application. Ball-joint tightened with only Allen key . Dedicated tapered bone screws. With PDWF (Pennig dynamic wrist fixator) both left and right extremities can be treated.
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HAND & WRIST EXTERNAL FIXATOR
The Hand & Wrist External Fixator for the immobilization of comminuted fractures of distal radius has been developed. This hand & wrist fixator offers an improved approach to the treatment of upper extremity fractures when external fixation is indicated. In addition to use on the wrist, this fixator can be applied to treat fractures of forearm, elbow and humerus. The wrist fixator has low profile and is lightweight. Thereby increasing patient comfort and allowing an earlier return to appropriate activities while the device is in place. It permits rapid application. It provides definitive treatment. The built in distractor unit is easy to use. Dedicated tapered bone screws. With hand & wrist fixator both left and right extremities can be treated.
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ILIZAROV CIRCULAR EXTERNAL FIXATOR SYSTEM
The Ilizarov method, implemented with other systems of external fixation, plays a leading role in the treatment of a wide range of orthopaedic problems, including limb length inequality, axial deformities, joint stiffness and some other conditions. In trauma it can be stated that some kind of consensus across the world exists nowadays about the use of Ilizarov methods in cases of trauma sequelae like limb shortening, bone defects, malunions, and osteomyelitis. A general statement about indications for the Ilizarov method in trauma is that the method should be considered in any situation where surgeon feels inconvenient with internal fixation. Also a suggestion should be added that the more severe fracture is, the more the Ilizarov method is suitable for the case.
The following most common trauma indications for the Ilizarov method should be considered:
• Severe open fractures with major soft tissue damage
• Limb salvage in fractures combined with vascular injuries
• Open fractures with bone loss
• Intra and periarticular fractures:
• tibial plateau and pilon fractures
• distal femur,
• distal radius
• foot
• elbow
• Intra and periarticular fractures with diaphyseal extension
• Implant failures, refractures, fractures in conditions of pre-existing limb deformities
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