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Application and postoperative management of external skeletal fixators
1Department of Small Animal Medicine, University of Georgia College of Veterinary Medicine, Athens.
The Veterinary Clinics of North America. Small Animal Practice
|January 1, 1992
Summary
External skeletal fixation stabilizes fractures using pins and frames, sometimes with bone grafts. Careful application and postoperative care, including dynamization, promote bone healing and reduce complications.
Area of Science:
- Orthopedic surgery
- Biomechanical engineering
Background:
- External skeletal fixation (ESF) is a surgical technique for fracture stabilization.
- ESF requires careful preoperative planning regarding bone healing potential and fixator stability.
Purpose of the Study:
- To detail the application and management of external skeletal fixation for fracture treatment.
- To highlight methods for enhancing fracture healing and minimizing complications.
Main Methods:
- Preoperative fracture assessment for healing potential and stability requirements.
- ESF application with or without supplemental fixation (IM pins, screws, etc.) and bone grafting.
- Rigid frame construction using predrilled pilot holes and careful pin insertion.
- Postoperative care including pin site management and dynamization.
Main Results:
- ESF effectively counteracts shear, bending, and torsional forces.
- Precise anatomical knowledge minimizes iatrogenic damage, improving patient outcomes.
- Dynamization stimulates osteosynthesis during fracture healing.
Conclusions:
- Proper application and management of ESF, including bone grafting and dynamization, are crucial for successful fracture healing.
- Meticulous surgical technique and postoperative care enhance patient morbidity.
- ESF is a versatile method for managing complex fractures.