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Physicians have been using external fixation to treat fractures for more than 2000 years, an approach first described as a way to immobilize fractures while preserving soft tissue integrity. While the design and biomechanics have advanced significantly, the core principles remain: maintaining length, alignment, and rotation of the fracture. External fixation can serve as both provisional and definitive fixation, often used in conjunction with partial internal fixation when necessary. It is a critical technique for orthopedic surgeons dealing with various fractures of the upper and lower extremities as well as the pelvis.
Fracture healing physiology is largely determined by the mode of fixation. Unlike absolute stability methods like compression plating which lead to primary bone healing, external fixation provides relative stability, resulting in secondary enchondral bone healing. The construct can be adjusted to achieve the specific level of stability required for the clinical case.
Medev Medical