External Fixation: Principles and Applications

The modularity and ease of application of modern external fixation has expanded its potential use in the management of fractures and other musculoskeletal conditions. In fracture care, it can be used for provisional and definitive fixation. Short-term provisional applications include “damage control...

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Veröffentlicht in:Journal of the American Academy of Orthopaedic Surgeons 2015-11, Vol.23 (11), p.683-690
Hauptverfasser: Bible, Jesse E, Mir, Hassan R
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container_title Journal of the American Academy of Orthopaedic Surgeons
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creator Bible, Jesse E
Mir, Hassan R
description The modularity and ease of application of modern external fixation has expanded its potential use in the management of fractures and other musculoskeletal conditions. In fracture care, it can be used for provisional and definitive fixation. Short-term provisional applications include “damage control” and periarticular fracture fixation. The risk:benefit ratio of added stability needs to be assessed with each fixator. Soft-tissue management is critical during pin insertion to lessen the risk of loosening and infection. Although provisional fixation is safe for early conversion to definitive fixation, several factors affect the timing of definitive surgery, including the initial injury, external fixator stability, infection, and the physiologic state of the patient.
doi_str_mv 10.5435/JAAOS-D-14-00281
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subjects External Fixators
Fracture fixation
Fracture Fixation - instrumentation
Fracture Fixation - methods
Fractures, Bone - therapy
Humans
Methods
Soft Tissue Injuries - therapy
title External Fixation: Principles and Applications
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