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Bulky compressive splint
2%
47/2445
Open reduction and internal fixation
6%
150/2445
Closed intramedullary nailing
53/2445
Spanning external fixation
86%
2108/2445
Hinged spanning external fixation
3%
81/2445
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Figure A shows a significantly displaced, high-energy proximal tibia fracture with intra-articular extension. Appropriate initial treatment includes application of a spanning external fixation device with fasciotomy if needed. The referenced article by Egol et al noted a low rate of wound infection, improved access to soft tissues, prevention of further articular damage, and osseous stabilization. They reported the downside being residual knee stiffness.
3.8
(20)
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