The pin-skin interface should be cleaned and adequately protected.
Frequent rechecks are recommended in the early postoperative period to access stability of the frame and the pin-skin interface.
Disassembly or staged disassembly
When there is evidence of good callus formation, staged disassembly of the construct can be considered to minimize complications associated with the transfixation pins.
Complete removal of ESF and the IM pin is indicated once the fracture is healed.