Results

The average time of treatment was 5 months (range 3-10). There were no intraoperative complications. During the postoperative period some patients presented with minor complications. Superficial infections at the transfixion points of wires or screws were seen in 142 cases (with rapid resolution after local dressing and specific antibiotic therapy). One patient had a transient paresis of the common peroneal nerve, which resolved after 2 months.

In all patients treated bone consolidation was achieved. No angular deformity was observed at the end of treatment; a minimal residual shortening was seen in 12 patients (2-6 mm, average 3 mm).

The ROM of the proximal and distal joints was good during and after the treatment in all cases involving the tibial and humeral shaft. In patients with femoral nonunions knee stiffness was seen during treatment, which gradually resolved with the help of kinesitherapy after removal of the external circular fixator.

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