What is the learning curve for hybrid external skeletal fixation?
Assuming one is knowledgeable and experienced with linear external skeletal fixation, the learning curve is relatively short for fracture repair using hybrid frames. The necessary details to master are proper wire placement, wire tensioning, and frame component use. One should be well versed with linear fixators before attempting hybrid ESF. Many consider hybrid ESF a simpler alternative to growth deformity repair than true circular ESF frames. This may be true in cases that do not require post-operative lengthening, but an operative plan must be devised to help make the appropriate frame choice.
