The TL-HEX TrueLok Hexapod System® Trauma fixator is a frame designed specifically for trauma application. The components belong to the circular system family of TrueLok Ring Fixation System and TL-HEX TrueLok Hexapod System®. The system consists of circular and semi-circular external supports secured to the bones by wires and half pins and interconnected by three rapid adjust struts. The ring positions are adjusted rapidly to perform bone segment repositioning in three-dimensional space thanks to specific connection elements (rapid adjust struts) dedicated to trauma application.
TL-HEX Trauma combines the advantages of a quick and simple application with the help of software to perform precise reduction adjustments, as and when it is needed.
Features & Benefits:
Suitable for damage control
Simple (universal components, such as wire and half-pin fixation bolts, reduce the number of parts needed in surgery)
Stable (wire and half pin fixation bolts with serrations and grooves provide superior bone segment stabilization¹)
Reproducible and standardized technique
Quick application (nuts and bolts for hand tightening of the entire frame)
Easy access to fracture and for plastic surgery (5/8 rings feature)
Time saving (hexapod conversion doesn’t need a second surgery)
Minimally invasive approach
Ideal in proximal and distal metaphysis
Designed to allow early weight bearing (at surgeon discretion) and functional recovery
The system can be applied on lower limb, both in adult and pediatric patients (except for newborns). In periarticular fractures the application of minimally invasive wires and circular fixation is one effective option with proven outcomes2.
Three simple operative steps:
Two TL-HEX rings applied in any desidered position
Wires and half pins used to secure the rings to the limb
Two rapid adjust struts engaged on the ring and partially tightened
Manual rapid reduction with central bolts loosened
When reduction is good all nuts and bolts must be tightened
Add one (or two) more rapid struts to definitive stabilization
In cases requiring further gradual three-dimensional precise reductions, TL-HEX hexapod struts can be added to the rings, converting the TL-HEX Trauma frame into a software guided hexapod frame. For more info, see www.tlhex.com.
Indications, both for adults and all pediatric subgroups except newborns, include:
Open and closed fracture fixation
Pseudoarthrosis of long bones
Post-traumatic joint contracture which has resulted in loss of range of motion
Fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction
Infected fractures or non unions
Patients with mental or physiological conditions who are unwilling or incapable of following postoperative care instructions.
Gessmann J, Jettkant B, Königshausen M, Schildhauer TA, Seybold D. Improved wire stiffness with modified connection bolts in Ilizarov external frames: a biomechanical study. Acta Bioeng Biomech. 2012;14(4):15-21.
“Bycondylar tibial plateau fractures treated with fine wire circular fixation”, Ferreira N, Marais L.C.- Strat Traum Limb Recon (2014) 9:25–32.
“High tibial plateau fractures treated with hybrid external fixation”, Babis GC, Evangelopoulos DS, Kontovazenitis P, Nikolopoulos K, Soucacos PN – Journal of Orthopaedic Surgery and Research 2011. “Distal tibial fractures treated with hybrid external fixation”, Babis GC, Kontovazenitis P, Evangelopoulos DS, Tsailas P, Nikolopoulos K, Soucacos PN – Injury, 2010 Mar;41(3):253-8. “Management of distal tibial intra-articular fractures with circular external fixation”, Lovisetti G, Agus MA, Pace F, Capitani D, Sala F – Strat Traum Limb Recon (2009) 4:1–6. “Combined Percutaneus internal and external fixation of complex tibial plafond fractures”, Faldini C, Manca M, Digennaro V, Leonetti D, Nanni M, Romagnoli M, Biagini C – G.I.O.T. 2006; 32:33-39. “Treatment of high energy tibial plateau fractures”, Narayan B, Harris C, Nayagam S – Strat Traum Limb Recon 2006; 1:18-28. “The use of trans-articular and extra-articular external fixator for management of distal tibial intra-articular fractures”, El-Shazly M, Dalby-Ball J, Burton M, Saleh M – Injury, Int. J. Care Injured 32 (2001) S-D-99-S-D-106.
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