The first external fixative device was designed and built in Germany in 1853, which has grown and diversified from 1950 to 1980, and today advanced devices are the ideal treatment for open fractures.
Shortening of the limbs has been a common use of orthopedics, and in the past the most common cause was previous childhood paralysis. In recent years, with the expansion of vaccination coverage, the number of children with polio has decreased and today, the most common causes of short-term limb disorders are trauma to bone infections. In many cases, short limbs are associated with other malignant disorders, such as bone deviations and joint instability, which can be selected depending on the type of treatment chosen.
The choice of treatment is made after analyzing the morphological factors of the fracture, the mechanical characteristics of the bone, especially the condition of the soft tissue injury (skin, muscle, nerve and vascular) and the general condition of the patient to lift the short limbs from many years ago using various techniques such as external pharyngeal resection. One-way and a combination of these devices are not provided on the internal conductors of the bone canal, but are currently used externally by Wagner, Orthophoxy or Elizarf methods at the comprehensive level.
The goal of modern treatments is to restore maximum activity to the limb and to limit the complication of the fractured limb, and due to improper treatment, these fractures will cause severe disability.
In coarse-grained fractures, although the treatment method is intramuscular rod-free technique due to less damage to the bone microcirculation at the fracture site, but in comparison with external fixator, it causes less damage to bone microcollation and in this respect to intra-canal techniques. It has an advantage. Due to the high prevalence of fractures of the tibia, it is important to choose the appropriate method to reduce the complications and speed of fracture healing.