Executive Editor: Chris Colton

Authors: Florian Gebhard, Phil Kregor, Chris Oliver

Distal femur Complete articular fracture, multifragmentary articular - Temporary external fixator

Aftercare following external fixation

Thromboembolic prophylaxis

Consideration should be given to thromboembolic prophylaxis, according to local treatment guidelines.

Pin-site care

Proper pin insertion
To prevent postoperative complications, pin-insertion technique is more important than any pin-care protocol:

Pin-site care
Various aftercare protocols to prevent pin tract infection have been established by experts worldwide. Therefore no standard protocol for pin-site care can be stated here. Nevertheless, the following points are recommended:

Pin loosening or pin tract infection
In case of pin loosening or pin tract infection, the following steps need to be taken:

Before changing to a definitive internal fixation an infected pin tract needs to heal. Otherwise infection will result.

Follow up

See patient 7-10 days after surgery for a wound check. X-rays are taken to check the reduction.

Implant removal

The external fixator is usually removed prior to the definitive internal fixation. Occasionally, it may be maintained for aid in reduction of the fracture during plate fixation.

 

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v1.0 2008-12-03