External fixation

External fixation has been studied in 4 papers since 2017: 4 observational studies in people; 1 in the past year. The newest paper, Jun 16, 2026: “Predictive Performance of Frailty Indices for Complications and Functional Recovery After Distal Radius Fracture Surgery in Patients Aged ≥65 years”.

Intervention

4 papers study it5 findingsUpdated

See all 4 papers on external fixation

At a glance

The findings reach people, from one lab or study. 2 independent labs in 2 countries.

“The mean length of stay in the operation room was 45 minutes and 108 minutes in the EF and HA groups, respectively (p<0.05).”
External Fixation Versus Hemiartroplasty In Unstable Intertrochanteric Hip Fractures Of The ElderlyActa orthopaedica Belgica2017

None of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 2 independent labs in 2 countries
  • Funders: National Center for Advancing Translational Sciences and 2 more
  • Humans4

What did studies of external fixation find?

4

Studies of external fixation measured 4 outcomes, among them mortality, functional scores and Postoperative hospital stay.

Mortality

no changein humans1

1 study
  1. External fixation showed no clear effect on mortality in humans (unstable intertrochanteric hip fractures; compared with hemiarthroplasty).

    “The total length of hospital stay, functional scores and mortality rates were not different.”

    Human trialunstable intertrochanteric hip fractures; compared with hemiarthroplastyn = 42

    External Fixation Versus Hemiartroplasty In Unstable Intertrochanteric Hip Fractures Of The Elderly

    Acta orthopaedica Belgica

Functional scores

no changein humans1

1 study
  1. External fixation showed no clear effect on functional scores in humans (unstable intertrochanteric hip fractures; compared with hemiarthroplasty).

    “The total length of hospital stay, functional scores and mortality rates were not different.”

    Human trialunstable intertrochanteric hip fractures; compared with hemiarthroplastyn = 42

    External Fixation Versus Hemiartroplasty In Unstable Intertrochanteric Hip Fractures Of The Elderly

    Acta orthopaedica Belgica

Postoperative hospital stay

downin humans1

1 study
  1. External fixation decreases postoperative hospital stay in humans (unstable intertrochanteric hip fractures; compared with hemiarthroplasty) (2.7 days versus 4.9 days).

    “The mean postoperative length of hospital stay was 2.7 days in the EF group and 4.9 days in the HA group (p<0.05).”

    Human trialunstable intertrochanteric hip fractures; compared with hemiarthroplastyn = 42

    External Fixation Versus Hemiartroplasty In Unstable Intertrochanteric Hip Fractures Of The Elderly

    Acta orthopaedica Belgica

Operative time

downin humans1

1 study
  1. External fixation decreases operative time in humans (unstable intertrochanteric hip fractures; compared with hemiarthroplasty) (45 minutes versus 108 minutes).

    “The mean length of stay in the operation room was 45 minutes and 108 minutes in the EF and HA groups, respectively (p<0.05).”

    Human trialunstable intertrochanteric hip fractures; compared with hemiarthroplastyn = 42

    External Fixation Versus Hemiartroplasty In Unstable Intertrochanteric Hip Fractures Of The Elderly

    Acta orthopaedica Belgica

What is external fixation linked with?

1

Studies link external fixation with unplanned return to the OR.

Unplanned return to the OR

upin humans1OR 15.6

1 study
  1. External fixation is linked with a higher risk of unplanned return to the OR in humans (geriatric low energy open ankle fracture) (OR 15.6, 95% CI 2.7 to 126.3).

    “ex-fix (OR 15.6, 95% CI 2.7 to 126.3).”

    Humansgeriatric low energy open ankle fracture

    Male sex, Gustillo-Anderson type III open fracture and definitive external fixation are risk factors for a return to the or following the surgical management of geriatric low energy open ankle fractures

    Injury

Latest

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