With consideration to the relatively high complication rate of internal fixation methods in the management of open fractures, 16-36% (17), the use of 'fixateur externe' or Hoffmann's apparatus is widely accepted as the best method of management. We do not have this valuable apparatus in our hospital due to the socioeconomic constraints typical of developing countries. We found a valuable improvisation in the use of Bohler's transfixation methods and even to the extent of achieving osteotaxis and ambulation. The management method is described with our positive experiences of its use in 28 cases of open fractures and other bone and joint afflictions. The advantages and disadvantages of the method are discussed. The method is recommended as a valuable substitute for the 'fixateur externe.'
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