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External fixation is a surgical treatment wherein Kirschner pins and wires are inserted and affixed into bone and then exit the body to be attached to an external apparatus composed of rings and threaded rods — the Ilizarov apparatus, the Taylor Spatial Frame, and the Octopod External Fixator — which immobilises the damaged limb to facilitate healing. [1]
The Taylor Spatial Frame (TSF) is an external fixator used by podiatric and orthopaedic surgeons to treat complex fractures [1] and bone deformities. The medical device shares a number of components and features of the Ilizarov apparatus .
18.8 Replacement and removal of therapeutic appliances/nonoperative removal of foreign ... Adjunct codes for external fixator devices ... ICD-10 Procedure Coding System;
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved.
In such cases, the area around the pin becomes red and swollen and may start to drain pus. Usually this infection clears up after removal of the pin. Breakage: K-wires may bend or break, especially if the fracture does not heal. [2] Loss of fixation: Smooth K-wires may back out of the bone losing the fixation.
Fixation in orthopedics is the process by which an injury is rendered immobile. [1] This may be accomplished by internal fixation , using intramedullary rod , Kirschner wire or dynamic compression plate ; or by external fixation , using a spanning external fixator , Taylor Spatial Frame or Ilizarov apparatus .
Once the fragments are reduced, the reduction is maintained by application of casts, traction, or held by plates, screws, or other implants, which may in turn be external or internal. It is very important to verify the accuracy of reduction by clinical tests and X-ray, especially in the case of joint dislocations.
Kirschner wire for fixation of small bones [24] Kuntscher nail for fracture of the shaft of the femur [25] Luque rod: for fixation of the spine [26] Moore's pin for fracture of the neck of the femur; Neer's prosthesis for shoulder replacement [27] Rush nail for diaphyseal fractures of a long bone [28] Smith-Petersen nail for fracture of the ...