Nha khoa New Jersey, New Jersey Medical School, Newark, NJ. Tiến sĩ Daluiski IS Trợ lý Giáo sư, Khoa Phẫu thuật bằng tay, phẫu thuật chỉnh hình Khoa, Bệnh viện cho phẫu thuật đặc biệt, New York, NY. Tiến sĩ Capo IS Trợ lý Giáo sư, Ban tay và vi phẫu, phẫu thuật chỉnh hình Khoa, Đại học Y và Nha khoa New Jersey-Trường Y khoa New Jersey. Tiến sĩ Hotchkiss IS Phó Giáo sư, | Hinged Elbow External Fixators Indications and Uses Virak Tan MD Aaron Daluiski MD John Capo MD and Robert Hotchkiss MD Dr. Tan is Associate Professor Division of Hand and Microsurgery Department of Orthopaedic Surgery University of Medicine and Dentistry of New Jersey-The New Jersey Medical School Newark NJ. Dr. Daluiski is Assistant Professor Division of Hand Surgery Department of Orthopaedic Surgery The Hospital for Special Surgery New York NY. Dr. Capo is Assistant Professor Division of Hand and Microsurgery Department of Orthopaedic Surgery University of Medicine and Dentistry of New Jersey-The New Jersey Medical School. Dr. Hotchkiss is Associate Professor Division of Hand Surgery Department of Orthopaedic Surgery The Hospital for Special Surgery. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Tan Dr. Daluiski and Dr. Capo. Dr. Hotchkiss or the department with which he is affiliated has received royalties from Smith Nephew. Reprint requests Dr. Tan University of Medicine and Dentistry of New Jersey 90 Bergen Street DOC 1200 Newark NJ 07101-1709. J Am Acad Orthop Surg 2005 13 503-514 Copyright 2005 by the American Academy of Orthopaedic Surgeons. Abstract Hinged external fixation of the elbow joint can play an important role in managing complicated fracture-dislocations joint instability after extensive contracture release and distraction interposition arthroplasty. Application of these devices requires accurate alignment of the fixator axis with the anatomic axis of the elbow. The primary therapeutic goal is to allow joint motion while protecting the healing ligaments. Common complications include pin loosening injury to adjacent neurovascular structures cellulitis and loss of reduction. Although reported data are limited this technique is a useful adjunct in patients with .