EXTERNAL FIXATION OF CHILDRENS FRACTURES - USE OF THE ORTHOFIX DYNAMIC AXIAL FIXATOR

We have reviewed 48 children's diaphyseal fractures of the femur and t ibia managed with the Orthofix Dynamic Axial Fixator between 1987 and 1994. The indications for external fixation included open fractures, m ultiple injuries, failed conservative management, and unstable fractur e configurations. All fractures healed without further surgical interv ention, and the incidence of serious complications was low. Although p in track sepsis was common, compromise of the fixation as a result of this occurred in only one case. We conclude that use of the Orthofix f or children's fractures is a safe and effective management option.