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The diamond frame: a simple and reliable construct for damage control resuscitation for femoral and knee spanning external fixation.

TECHNIQUE Diamond frames are characterised by the application of parallel handlebars to control each side of the injury. For femoral fractures, the handlebars are at 45o to the axis of the femur. In spanning frames, handlebars are applied parallel to the femur and tibia. These bars must be long with significant overlap so that they may then be connected by a second pair of bars, thus creating a diamond.