Improvement of treatment of diaphyseal fractures of the tibia bones

Since 1984 we use a modification of compression-distraction osteosynthesis for treatment of patients with diaphyseal fractures of the tibia bones in the emergency hospital, which consists of the following. Under local intraosseous anesthesia we put two spokes through each fracture of the tibia in the frontal plane perpendicular to the tibia axis. Those spokes that are closer to the fracture plane have a thrust pad. The location of the stops corresponds to the nature of fracture displacement in the frontal plane. If there are no spokes with stops, you can use spokes previously knotted on the ring of the Ilizarov apparatus with the help of a spica tensor. The spokes are as far apart as possible (within the length of the fracture). They are fixed and tensioned in the semicircles of the Ilizarov apparatus with special screws with a longitudinally located channel in the center for a spoke or with an adapted spicenator from the Gudushauri, Volkov-Oganesian apparatus. For repositioning of fragments in the sagittal plane we use brackets with rods located perpendicular to the tibial axis, which allow displacement of fragments relative to each other.