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Related Experiment Videos

External fixation indications and patient selection.

Michael J Baker1, Stephen M Offutt

  • 1Winona Memorial Hospital, Winona East Foot and Ankle, 161-B Washington Point Drive, Indianapolis, IN 46229, USA. Bakerfoot@aol.com

Clinics in Podiatric Medicine and Surgery
|March 5, 2003
PubMed
Summary
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External fixation has evolved from fracture management to diverse orthopedic applications. Careful patient and indication selection, considering factors beyond surgical risk, optimizes outcomes.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • External fixation has evolved significantly since the mid-nineteenth century.
  • Initially used for fractures, its applications now include corrective osteotomies, Charcot management, limb lengthening, nonunion treatment, and malalignment correction.

Observation:

  • Improvements in external fixation are attributed to evolving frame design, increased stability, and advanced pin/wire insertion techniques.
  • Key considerations for choosing external versus internal fixation include risk-benefit analysis, surgeon experience, and complication management.
  • Additional factors for patient selection include psychological tolerance, compliance, and personal hygiene.

Findings:

  • The article details indications for external fixation based on pathology and patient-specific factors.

Related Experiment Videos

  • Surgeons must evaluate bone quality, age, cognitive ability, psychological tolerance, and compliance.
  • Appropriate patient and indication selection is crucial for superior results with external fixation.

    • Implications:

    • Optimizing external fixation use requires a comprehensive approach considering both technical and patient-related factors.
    • This approach can lead to improved outcomes in a wider range of orthopedic conditions.
    • Enhanced patient selection protocols can maximize the benefits of external fixation techniques.