Fine wire frame fixation offers a unique approach to managing complex limb injuries, providing enhanced stability and promoting weight-bearing. This guide explores key principles, indications, and challenges of this technique.
The healing process continues as expected, with significant improvement in swelling and early callus formation. However, mild valgus alignment has been noted, and potential corrective action is being considered to optimise long-term function.
Distraction osteogenesis is complete, with both legs now equal in length. Encouraging signs of healing are visible on X-rays, including unexpected early callus formation at the fracture site. The focus now shifts to rehabilitation and ongoing monitoring.
Steady progress continues with further lengthening nearing the planned goal. Compression at the proximal fracture site is holding, with no signs of infection. Adjustments made to allow additional distraction.
Significant progress as the proximal fragment reaches the docking point. A minor deformity correction is planned, with continued distraction at a reduced rate to minimise stress on the ankle.
As the most crucial phase of treatment progresses, expected complications arise, including a broken screw and Achilles tendon tightening. Adjustments to distraction speed and physiotherapy aim to maintain progress and ensure optimal healing.
