ABSTRACT

Surgery Report The patient was placed in the dorsal recumbent position with the limb suspended from the ceiling in a hanging limb technique so as to assist in fracture reduction. A preassembled hybrid fixator was placed on the limb and the limb resuspended. The hybrid fixator consisted of a 66 mm, 3.2 mm thick, partial ring attached to a 9.5 mm diameter 250 mm long connecting rod. Three olive wires were placed; two from medial, and one from lateral. The wires were tightened and secured on the opposite sides of the ring. A 3.2 mm end-threaded positiveprofile fixator pin was inserted transversely into the proximal tibia and secured to the connecting rod. Limb alignment was visually confirmed. Two additional 3.2 mm pins were then placed from the medial connecting rod into the proximal 4th of the tibia. The third pin was angled somewhat proximally. A second connecting rod, attached to the proximal aspect of the medial connecting rod, coursed distally and laterally and was secured to the cranial-lateral aspect of the distal ring.