External fixation

External fixation is a surgical treatment used to set bone fractures in which a cast would not allow proper alignment of the fracture.

Image from Healio Orthopedics (link)

“The management of complex lower extremity injuries has significantly evolved over the last 10 to 15 years. Rather than forge through lengthy surgical interventions at odd hours in unstable patients, external fixation can provide the surgeon time to adequately assess the injury and allow the patient the opportunity to be appropriately resuscitated. Additionally, it has been shown that immediate open reduction and internal fixation (ORIF) of lower extremity periarticular fractures through compromised soft tissues has higher wound complication rates. The theory of damage control orthopedics, therefore, allows for at least partial recovery of the patient’s biologic reserve and soft tissues after traumatic injury prior to further reconstructive procedures.”(Anthony Sorkin, MD published in healio.com [link])

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