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Orthopedic surgeon making adjustments to a metal plate in a patient's ankle. An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing [1] and to reduce the possibility of nonunion. Most modern plates include bone screws to help the orthopedic plate stay in place.
Ankle fractures may result from excessive stress on the joint such as from rolling an ankle or from blunt trauma. [1] [2] Types of ankle fractures include lateral malleolus, medial malleolus, posterior malleolus, bimalleolar, and trimalleolar fractures. [1] The Ottawa ankle rule can help determine the need for X-rays. [2]
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]
X-ray of trimalleolar fracture repair with plate and nails. Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve ...
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.
They come in different sizes and are used to hold bone fragments together (pin fixation) or to provide an anchor for skeletal traction. The pins are often driven into the bone through the skin (percutaneous pin fixation) using a power or hand drill. They also form part of the Ilizarov apparatus. Kirschner wires used for fixation of a Colles ...
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Percutaneous pinning is considered to be less invasive, faster, and requires less skill compared to open surgery (plate fixation). [ 1 ] Disadvantages of this technique include that the stabilized fracture is less stable compared to a surgical plate, the person may require extensive limits to their motion at the early stages, and there is a ...