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J Am Acad Orthop Surg, Vol 13, No 8, December 2005, 503-514.
© 2005 the American Academy of Orthopaedic Surgeons
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Hinged Elbow External Fixators: Indications and Uses

Virak Tan, MD, Aaron Daluiski, MD, John Capo, MD and Robert Hotchkiss, MD

Dr. Tan is Associate Professor, Division of Hand and Microsurgery, Department of Orthopaedic Surgery, University of Medicine and Dentistry of New Jersey–The New Jersey Medical School, Newark, NJ. Dr. Daluiski is Assistant Professor, Division of Hand Surgery, Department of Orthopaedic Surgery, The Hospital for Special Surgery, New York, NY. Dr. Capo is Assistant Professor, Division of Hand and Microsurgery, Department of Orthopaedic Surgery, University of Medicine and Dentistry of New Jersey–The New Jersey Medical School. Dr. Hotchkiss is Associate Professor, Division of Hand Surgery, Department of Orthopaedic Surgery, The Hospital for Special Surgery.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Tan, Dr. Daluiski, and Dr. Capo. Dr. Hotchkiss or the department with which he is affiliated has received royalties from Smith & Nephew.

Reprint requests: Dr. Tan, University of Medicine and Dentistry of New Jersey, 90 Bergen Street, DOC 1200, Newark, NJ 07101-1709.

Hinged external fixation of the elbow joint can play an important role in managing complicated fracture-dislocations, joint instability after extensive contracture release, and distraction interposition arthroplasty. Application of these devices requires accurate alignment of the fixator axis with the anatomic axis of the elbow. The primary therapeutic goal is to allow joint motion while protecting the healing ligaments. Common complications include pin loosening, injury to adjacent neurovascular structures, cellulitis, and loss of reduction. Although reported data are limited, this technique is a useful adjunct in patients with complex elbow instability.




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W. P. Cooney III,
Orthopaedic Advances
J. Am. Acad. Ortho. Surg., December 1, 2005; 13(8): 491 - 491.
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