Definitive Bone Fixation and Reconstruction: Conversion from Temporary External Fixation to Internal Fixation Methods

摘要: Temporary external fixation is frequently employed in the military combat theater of operations to temporize devastating extremity injuries and facilitate transport wounded soldier. Multiple civilian a few studies have provided helpful insight into staged treatment these including conversion temporary definitive stabilization with internal fixation. Diaphyseal fractures long bones are often converted intramedullary devices less plate fixation, “built-up” fixators, or ring fixators. Periarticular formal open reduction hybrid, fixators depending on surgeon preference. Reconstructive protocols call for stringent evaluation preexisting pin tracts stable soft-tissue envelope prior proceeding conversion, usually within window 1–2 weeks. A still undefined safety interval that may approximate 3 weeks between fixator removal nailing can be when there has been history pin-tract infection.