previous section: 2/11 page: 3/4 next

2Preliminary remarks to application of external fixator

The following three potential complications are of concern when inserting Schanz screws for external fixation:

  • Injury to extensor tendons
  • Injury to the superficial branch of the radial nerve
  • Metacarpal fracture

The following precautions minimize the risk of these complications:

  • Knowledge of the anatomy and specific landmarks for pin insertion
  • Adequate surgical incisions
  • Blunt dissection down to bone
  • Use of a protection sleeve