The leg is considered the most simple and least dangerous application site for a compression-distraction apparatus in traumatology, even if that probably is not true. As regards the differences between axial and circular external fixation in tibial traumatology, they follow those previously presented for humeral traumatology.

Mountings that have been proposed for the tibia are very different: the use of screws as an alternative or in addition to small wires at this level may sometimes be useful. Therefore there is a wide range of possible configurations (Fig. 12). Even at the tibial level the combination of external and internal osteosynthesis can be used in certain cases to reduce the bulk of the external assembly [31].

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