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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: Jul 11, 2026

Adjustable Stiffness, External Fixator for the Rat Femur Osteotomy and Segmental Bone Defect Models

Adjustable Stiffness, External Fixator for the Rat Femur Osteotomy and Segmental Bone Defect Models

Published on: October 9, 2014

The economic impact of reprocessing external fixation components.

Daniel S Horwitz¹, Kathryn L S Schabel, Thomas F Higgins

¹Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA. Dan.Horwitz@hsc.utah.edu

The Journal of Bone and Joint Surgery. American Volume

|October 3, 2007

Summary

Recycling external fixation devices can save hospitals money and is safe for patient use. This study shows significant cost savings through manufacturer-based recertification programs for reusable components.

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Area of Science:

Orthopedic surgery
Biomedical engineering
Health economics

Background:

Complex fracture treatment trends increase external fixation device costs.
Healthcare cost reduction pressures drive exploration of single-use device reuse.
Manufacturer recertification is required before redeploying external fixation equipment.

Purpose of the Study:

To determine the recertification rate of Hoffmann-II external fixation components.
To calculate institutional cost savings from a US FDA-approved reuse program.
To assess the safety and economic viability of recycling external fixation devices.

Main Methods:

Submitted Hoffmann-II external fixation components for manufacturer inspection and mechanical testing.
Determined pass rates for original and previously recycled components.
Calculated potential hospital savings based on a conservative pass rate and maximum recertifications.

Main Results:

The initial pass rate was 76%, with a second pass rate of 83% from a limited sample.
A conservative 75% pass rate predicted an average component reuse of 2.7 times.
Recertified components were repurchased at 50% of original cost, yielding 32% savings on recyclable parts and 27% overall.
No recertified components failed clinically.

Conclusions:

Medical device recycling is becoming essential for cost control.
This study confirms the safety of external fixation device reuse.
Manufacturer-based recertification programs offer significant cost savings.