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6Treatment - implant retention or removal

The diagram demonstrates an ideal external fixation placement.

Stabilization with external fixation

The diagram demonstrates an ideal external fixation placement. The pins do not hamper surgical access to the infected zone, and are well-separated within each fragment, so as to provide optimal stability. Two bars also improve the strength of the fixation. The configuration should be planned carefully.
An external fixator can be used either as a temporary, or as a definitive, stabilizer. Even if definitive external fixation is planned, a temporary fixator may be best after initial débridement. This aids repeated clearance and wound care. Once further wound access is no longer required, a new fixator that provides optimal stability can be applied.