We have developed an inexpensive way of dealing with fractures in a theatre without radiological facilities.

In 28 patients over the last four and a half years, we combined the use of commercially available metal fixators, the efficacy of which is well known, with the use of newly-developed JK-2000 plastic external fixators. First, we stabilised the fracture with the metal fixator. Next, we took an early postoperative radiograph and made whatever manual correction was necessary, stabilising the position with plastic holding bars. Several hours later the metal frame was removed.

We have experienced loss neither of proper alignment nor of expensive external fixators. We recommend this economical method for use in African hospitals with no intra-operative radiological facilities and limited financial resources.