Abstract
We have coined the term “substitution” to describe situations in which an external fixator or an implant is used to compensate for some deficiency in the bone following fracture or disease. This substitution is required for success to be achieved with a given fixation method. In fractures, because of the potential for bone regeneration, what ever is lacking is usually absent only temporarily. Thus it is possible, in a situation where a plate has been used on a fracture that has no contralateral medial buttress, to compensate this deficiency by applying an opposing simple external fixator. This provides a temporary medial buttress giving the unviolated comminuted fragments time to consolidate and repair their supportive function.
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© 1989 Springer-Verlag Berlin Heidelberg
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Mast, J., Jakob, R., Ganz, R. (1989). Substitution. In: Planning and Reduction Technique in Fracture Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61306-7_5
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DOI: https://doi.org/10.1007/978-3-642-61306-7_5
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-64784-0
Online ISBN: 978-3-642-61306-7
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