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Synthes Hybrid Circular Wire Fixator

- See:
      - Ring characteristics
      - Safe Zone of Pin Insertion
      - Foot Inclusion
      - Wire Insertion Technique

- Case Example:
    - 25 year old male who sustained a gun shot wound to the tibia which resulted in an arterial trifurcation injury;
          - although a well aligned manual reduction was achieved, it was not held with the standard "hybrid - delta frame configuration;"


          - in retrospect, this fracture would have been better managed by placing the ring at the level of the fracture, and then positioning the transfixation wire clamps above and below the ring so that olive wires could have been placed on the medial side of the distal fragment



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