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The Journal of Bone and Joint Surgery 78:1287 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

James B. Carr, M.D., J. Lawrence Marsh, M.D., James V. Nepola, M.D., Susan Bonar, M.D., Thomas A. DeCoster, M.D. and Shepard R. Hurwitz, M.D.

TO THE EDITOR:

I read with interest the article "Use of an Articulated External Fixator for Fractures of the Tibial Plafond" (77-A: 1498–1509, Oct. 1995), by Marsh et al. I commend the authors on their honest assessment of what appears to be a promising technique. However, I disagree with some of the statements in the article. While, undoubtedly, there were no serious deep infections of the tibial wounds, there were a host of other complications related to the method of treatment. Thus, I disagree with the statement in the Abstract "These data suggest that the prevalence of early complications ... can be decreased." Table I, by my count, listed some sort of complication for thirty-one of the forty-nine patients. Most of these complications were minor and, importantly, did not affect . . . [Full Text of this Article]


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