How is external fixation performed?
An orthopedic surgeon performs external fixation under general anesthesia. These are the steps that are most commonly followed during an operation:
- The fracture area is drilled with holes.
- Bolts are inserted into the holes.
- The bolts are joined to the rods by ball-and-socket joints.
- To ensure that the bone is aligned correctly, minimal bone shortening can be done to the ball-and-socket joint.
Incision sites are cleaned frequently to prevent infection. Sometimes, a cast might be necessary.
It is often possible to remove the bolts and frame in a doctor’s office without any anesthesia. Fractures can occur at drill sites, and extended protection may be required after removing the device.
The following conditions make external fixation dangerous:
- Bone disorders or degradation can compromise stabilization.
- Pins and wires that are not adequately cared for can prove problematic.
- People with severely compromised immune systems are at greater risk of infection.
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