Hoffmann osteotaxis for tibial fractures: soft-tissue complications, infection and union in a historical Belgian cohort.

Authors

S El Banna, F Burny

Published in

Acta orthopaedica Belgica. Volume 92. Issue 3. Oct 08, 2026. Epub Oct 08, 2026.

Abstract

; [email protected] Hoffmann osteotaxis is part of Belgian tibial fracture history. We describe an archival multicentre cohort and examine associations between soft-tissue category, secondary skin necrosis, historically recorded local infection and union outcomes. Aggregate tables from a publicly deposited 1980 Université libre de Bruxelles memoir were transcribed and checked against source totals. The unit of analysis was the fracture. The cohort included 1,147 fresh, initially non-infected tibial fractures treated with Hoffmann external fixation in seven collaborating centres: 890 men and 257 women. Secondary skin necrosis occurred in 164 fractures and recorded local infection in 44. Named historical open-fracture categories showed higher skin-necrosis and infection rates than closed fractures without contusion. Final source-defined outcomes were consolidation in 882 fractures, temporary pseudarthrosis in 38, definitive pseudarthrosis in 100 and unknown in 127. This archive is a historical benchmark, not comparative evidence for current fixation choices.

PMID:
42885463
Bibliographic data and abstract were imported from PubMed on 16 Oct 2026.

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