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General theory and principles of external fixation
1Case Western Reserve University, Cleveland Metropolitan General Hospital, OH 44109.
Clinical Orthopaedics and Related Research
|April 1, 1989
Summary
External fixation, a method for bone and soft tissue injury stabilization, is now safe, reliable, and predictable due to recent advancements. These improvements make it a versatile and gentle option for complex trauma cases.
Area of Science:
- Orthopedic surgery
- Biomedical engineering
Background:
- External fixators have historically presented challenges regarding complications.
- Past limitations have hindered the widespread adoption of external fixation techniques.
Purpose of the Study:
- To review the evolution of external fixation methods.
- To highlight advancements that have improved safety and predictability.
- To establish external fixation as a leading method for complex injuries.
Main Methods:
- Review of historical data and case studies.
- Analysis of component design improvements.
- Evaluation of new pin care protocols.
- Identification of key principles for effective application.
Main Results:
- External fixation is now demonstrably safe, reliable, and predictable.
- Component design and pin care innovations have enhanced usability.
- Three core concepts guide successful external fixation.
- Preoperative and long-term planning are critical.
Conclusions:
- External fixation has evolved into a highly adaptable and versatile technique.
- It offers a gentle yet effective solution for complex soft tissue and bone injuries.
- Modern advancements have overcome previous complications, ensuring predictable outcomes.