Every trauma surgeon knows the love–hate relationship with circular external fixators. They’re unmatched for segmental defects, infected tibias, mangled soft tissue — but they ask a price: long frame times, cranky pin sites, and the maddening stall of callus that just won’t bridge.
A team out of Curitiba, Brazil, may have found a clever workaround. In a double-blinded randomized clinical trial (RCT) published in the European Journal of Trauma and Emergency Surgery (September 3, 2025), “Novel device for controlled dynamization of tibial fractures: randomized clinical trial,” Fernando Ferraz Faria, Jamil Faissal Soni, Rodrigo Nunes Rached, and Paula Cristina Trevilatto tested whether controlled dynamization could coax tibias toward earlier union.
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