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Related Experiment Videos

Experiences with external fixation with emphasis on the complications.

J C Wissing1, C van der Werken

  • 1Department of Surgery, St. Elisabeth Hospital, Tilburg.

The Netherlands Journal of Surgery
|April 1, 1988
PubMed
Summary

External skeletal fixation is crucial for treating bone conditions but carries a high risk of complications. This study reviewed 157 procedures, finding complications in 31 cases, highlighting the need for careful management.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • External skeletal fixation is a vital orthopedic technique.
  • Complications can arise from pin placement, infections, and instability.

Purpose of the Study:

  • To retrospectively analyze complications associated with external skeletal fixation.
  • To assess the incidence and severity of adverse events in fixation procedures.

Main Methods:

  • Retrospective review of 157 external skeletal fixation procedures in 135 patients.
  • Detailed analysis of complications including pin malplacement, infections, instability, fistulization, and osteitis.

Main Results:

  • Complications occurred in 31 (19.7%) of the 157 procedures.
  • Eight of these complications were considered serious, indicating significant risks.

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  • Common issues included pin track infections and instability.

    • Conclusions:

    • External skeletal fixation, while indispensable, is linked to a substantial risk of complications.
    • Careful technique and monitoring are essential to mitigate risks in external fixation.
    • Further research into minimizing complications is warranted.