A Complete Guide On External fixation
An external fixator is a stabilising apparatus that aids in the stabilisation of broken bones. An external fixator inserts metal pins or screws into the bone through small incisions in the skin and muscle. The spindles and screws are attached to a bar outside the skin.
External attachment can give traction for a long time. External fixation is a viable alternative to the several bulky splints that have been described and used for continuous portable traction, some of which enable active and passive joint mobility. Within 3 to 4 weeks, an external fixator spanning a joint may usually be removed, and activities can begin. A hinged external fixator that allows instantaneous active mobility at the proximal interphalangeal joint is an option.
For neutralising pressures across complicated articular reconstructions, external fixation is particularly beneficial. For the realignment of complicated articular fractures, the use of traction wires and external fixation devices has been reported. For intraoperative distraction of fractures, external fixation is a good option.
After realigning and securing the articular fragments using Kirschner wires or tiny screws, it can be left in place. While the fracture is healing, the external fixation protects it from compressive, bending, and rotational forces. Depending on the severity of the fracture, the frame is removed within 3 to 6 weeks, and the damaged joint is mobilised.
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