Study finds, Unilateral external fixation by the “joystick t
The aims of current study were to present the clinical outcomes in patients with pediatric tibia shaft fractures who were treated with unilateral external fixation combined with joystick for fracture reduction and describe the details of our technique.

The patients with pediatric tibia shaft fractures who were treated with unilateral external fixation combined with joystick for fracture reduction were retrospectively analyzed.

Results:
--A total of 23 patients were included in the current study with the average age of 8.0 years. The average duration of hospital and follow-up were 5.9 days and 17.4 months, respectively.

--At postoperative 3 days, the visual analog scale (VAS) score was 3.1±1.43, which was significantly lower than the preoperative score of 7.3±1.5.

--Of these, 2 cases showed redness and swelling of pin-tract and exudation at postoperative 1 month, who improved after oral antibiotics without causing fixation failure.

--The average time to full weight-bearing without crutches was 5.1 weeks (ranged 3–8 weeks). All patients achieved fracture healing and good functional recovery.

--No complications including fixation failure, reoperation, epiphyseal injury occurred, infection around implants, vessel damage, nerve damage, and limitation of joint movement were observed. The Johner-Wruh scores showed that 21 cases were “excellent” and 2 cases were “good.”

Finally, this surgery has the advantages of being straightforward to do, causing less damage, allowing for rapid recovery of lower limb function, and posing no danger of sequelae. It may offer a new option for children who require surgical treatment for tibia shaft fractures.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02625-w
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