What Is External Fixation 5555

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What is External Fixation?

•External fixation is completed using a device


called an external fixator.
•This specialized device consists of multiple pins

and external bars or rings, which hold a fractured


bone in place during the healing process.
•External skeletal fixation of long bones consists of

inserting two or more pins each in the proximal


and distal bone fracture fragments.
•The pins are connected by clamps to an external

connecting bar. They are useful to treat to a wide


variety of fractures.
 They are particularly useful for infected fractures,
comminuted fractures, certain osteotomies, and
cases with delayed wound healing or when
supplementation with other internal fixation
methods is required.
 Several types of external skeletal fixators exist.
Classification is based upon the number of planes
that the pins pass through in space and how many
skin surfaces are penetrated.
External Fixation Procedure in Dogs
 
 
 External fixation is a surgical procedure used to
stabilize and set bones back into the correct
position.
 In order to achieve this, the use of an external

skeletal fixator is required. An external fixator is


a device that consists of pins, which pass through
the dog’s skin, underlying tissues, and bone.
 The pins pass from one side of the limb to the

other and are stabilized by an external bridging


bar that can be found on either side of the limb.
 There are two known types of external fixators used in
canine external fixation: standard and circular fixators.
 A standard fixator is characterized by a number of pins

that penetrate the bone and external bars that with then
connect the pins together.
 A circular fixator is characterized by very thin pins that

penetrate the bone in addition to the skin on both side of


the affected limb.
 These fine pins are then attached to a metal circular plate

or halo with each of the rings attaching to one another


with long bolts. A circular fixator is reserved for complex
fractures or angular limb deformities with the goal being
correction.
External Fixation Recovery in Dogs

 External fixation in dogs has a long period of healing,


usually lasting three to four months.
 The dog's fixator will be removed in a matter of stages
in order to encourage the bone to strengthen and
account for the canine’s weight.
 Pet owners should expect a series of follow-up vet
appointments that will include an x-ray to view the
internal healing that is being accomplished.
 The overall duration of healing time for a dog
undergoing external fixation will depend on the
severity of the injury and the individual’s ability to heal.
•Transcutaneous
fixation pins inserted
into bone
– connected by external
rods, bars, or columns
Advantages of ESF

• Rigidity versatile depending on construct


• No implants at fracture site
• Applied closed or through minimal approach
– no disturbance of soft tissues
• Versatile construction for varying anatomy /
fracture
Configuration
• Can be combined with other fixation methods
• No residual implants (removed at fracture union
Types of ESF

•Linear
• Ring
• Acrylic / freeform
• Pinless
Linear ESF
Type I
Type 1A
• Unilateral uniplanar
Type 1B
• Unilateral biplanar
Least rigid frame types
Type II
• Bilateral uniplanar
• Full pins
• May include additional half pins
• Limited to use below elbow /
stifle
• More rigid than type 1
Type III
• Bilateral biplanar
• I + II = III
• Most rigid linear frameType
III
• Bilateral biplanar
• I + II = III
• Most rigid linear frame

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