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Published byChad Patrick Modified over 8 years ago
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PILON EXTERNAL FIXATION LAB
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Theory of External Fixation “Damage Control” Provides stability while letting the soft tissues heal Does not burn bridges Allows for planning
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Know the Goals of External Fixation Provide stability Restores length and rotation Cannot anatomically reduce the joint Does not control comminution
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Options for Pin Placement Tibia (typically 2 pins) Talar neck Calcaneus/Trans Calcaneal 1 st Metatarsal Controls dorsiflexion of foot
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Ways to Increase Stability Increase number of pins Increase pin spread Decrease bar to skin distance Add 2 nd bar Add 2 nd plane
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Successful External Fixation Restoration of length and alignement Soft tissue management keep out of the way of future surgical site Spend time to do a good exfix – it may be the definitive treatment
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Complications Pain Infection Loosening Fracture
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