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Appropriate Fracture Stabilization
              with
       External Fixation
      inEmergency Cases
       Dankward Hoentzsch
       Trauma Center and University Clinic
       Tuebingen Germany

       AO EX FIX Working Group           BGU    UNI
                                          TÜBINGEN
Trauma


Systemic




For the limb




Poly………….
               BGU    UNI
                TÜBINGEN
Appropriate Fracture Stabilization
                    with
             External Fixation
            In Emergency Cases

Key Words from Walter Ammann:

Network

Workshop

Hard Core Engineer -- Power surgeons

“1/2 of lower leg injury in Haiti were amputated”



                                               BGU    UNI
                                                TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
Appropriate Fracture Stabilization




                   EXFIX Modular




                   EX FIX Spanning




                   EX FIX Ringsystems
                                        BGU    UNI
                                         TÜBINGEN
Save Zones   BGU    UNI
              TÜBINGEN
EX FIX
MODULAR

          D.Höntzsch
          BGU    UNI
           TÜBINGEN
BGU    UNI
 TÜBINGEN
System
components




             BGU    UNI
              TÜBINGEN
in emergency case: external fixation can even be done
on the intensive care unit!                    BGU  UNI
                                               TÜBINGEN
6.4.2005   BGU    UNI
            TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
•   Hypotension
•   Coagulopathy
•   Hypothermia
•   Traumatic Brain Injury
•   Vascular Injury
•   Contaminated limb
    salvage
                             BGU    UNI
                              TÜBINGEN
DECOMRESSION   FASCIECTOMIE ! ! ! !
                                      BGU    UNI
                                       TÜBINGEN
Vascular Surgery
under the protection of stabilization by EX FIXBGU   UNI
                                               TÜBINGEN
BGU    UNI
 TÜBINGEN
Femur




Knee Bridging




Tibia
                BGU    UNI
                 TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
Shower and wash EX FIX   BGU    UNI
                          TÜBINGEN
BGU    UNI
 TÜBINGEN
BGU    UNI
 TÜBINGEN
Appropriate Fracture Stabilization
              with
       External Fixation
      inEmergency Cases
       Dankward Hoentzsch
       Trauma Center and University Clinic
       Tuebingen Germany

       AO EX FIX Working Group           BGU    UNI
                                          TÜBINGEN

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Appropriate Fracture Stabilization