Figure 1

In a multi-trauma patient treated with circular external fixator, the TR configuration was applied for the fixation of a) a right open, supracondylar femoral fracture and b) a left distal tibial (pilon) fracture (a). Both were high-energy injuries, resulting in severe fracture comminution and segmental bone loss from the femur at the accident site (b). Bridging of the right knee and left ankle joints was deemed necessary. Subsequently, the femoral fracture was grafted and internally fixed (c, d).