Intraoperative Use of External Fixator Attachments for Reduction of Lower Extremity Fractures and Dislocations.

The mainstay of complex open lower extremity fractures and dislocations is the temporizing external fixator. We propose the use of external fixator attachments that allow for the reduction of fractures and dislocations intraoperatively. By using external fixator carbon fiber rods, the surgeon is able to create a capital "T" (sweet T) shaped attachment and connect this to a Schanz pin. Simultaneously, the external fixator carbon fiber rods can be configured into the shape of a capital Greek letter pi (Cherry II) and applied to an external fixator pin. When both of these configurations are used, multi-directional forces can be applied across the fracture fragments with the added benefit of using extrinsic hand muscle power for force generation and manipulation of fracture fragments to facilitate reduction.