[External fixation of bones (fixateur externe) in fracture treatment]

In traumatology, we differentiate between conservative and surgical treatment. External fixation of the bone lies somewhere between the two. When deciding on the most appropriate treatment for each patient, the advantages and disadvantages must be carefully evaluated. However, there are a series of single or multiple injuries which can't be optimally treated with conservative procedures nor with invasive surgery. External fixation has become the treatment method of choice in many of these cases. The fragments to be stabilised are fixed with (so-called Schanz screws) or with (Steinmann pins) or with wires. The section which lies outside the body are attached to longitudinal rods. External fixation is a noninvasive, surgical method of fracture stabilisation with many advantages is easy to handle, has a low complication rate, can be taught anywhere, and can be used everywhere. There are great advantages in cases of soft tissue damage, in polytraumatised patients and in septic orthopedic surgery.