section: 0/4 page: 1/2 next

Definitive care

Severe open hindfoot injury

Principles of definitive care

The external fixator, or pinning, maintains bony stability for soft-tissue management. Once soft tissues are closed, or appropriate for surgery, definitive bony fixation is undertaken. Accurate reconstruction of joint surfaces with spanning plates over areas of marked comminution provide stability and enhance bony healing and soft-tissue care.
Foot shape and proper position of comminuted bone pieces is maintained by locking implants. This is one of the few places in the body where whole bones can be spanned if joints are accurately reconstructed.
Long spanning plates are best left in place for a period of months while the bony and soft-tissue injuries heal.