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External Skeletal Fixators (ESF)
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Information for vets about this repair method.

IMEX and Securos TITAN Linear External Fixators

These systems uses carbon fibre connecting bars and four part clamps providing intraoperative flexibility in the placement of pins. The carbon bars are lightweight and radiolucent, allowing accurate radiographic assessment of fracture healing, something that is not always straightforward with metal connecting bars.

The TITAN system uses a dedicated jig for placement of pins. This means Type 2 fixators can be placed accurately and rapidly without the need to manipulate and make do, as is often the case with other systems.

Placement of positive profile pins is simple, resulting in a durable stable fixation. These systems are also suitable for transarticular external skeletal fixators.


The FESSA system was designed for the French army to treat fractures of the hand and fingers. It is very lightweight and allows placement of a high density of small pins so is very useful for small dogs and cats.

IMEX Hybrid and Ring Fixators

Hybrid and ring fixators allow the treatment of complex juxta-articular fractures and simple angular limb deformities. We have all sizes available from the mini system suitable for cats and toy dogs, up to the large size for heavier dogs.

ESF Putty

When working to a tight budget we use ESF putty instead of bars and clamps. This allows us to construct suitable effective fixators at a fraction of the cost of more advanced systems. The disadvantage is that the fixator cannot be adapted to enable pin replacement in the event of pin loosening. Destabilisation is also not easy to achieve, as generally the fixator needs to be removed en bloc.