Parameters of Conversion from Temporary External Fixation to Internal Fixation in Open Fractures in Adults

Abstract

he procedure for evaluation and management of open fractures is best described as a sset of principles that has evolved over time, These principles involve both initial management and subsequent surgical intervention, The first step is accurate diagnosis and documentation of mechanism of injury, Appropriate coverage of the wound and splinting of the fracture are performed in conjunction with initiation of appropriate antibiotic therapy. (1) The soft-tissue injury was classified according to the Gustillo and Anderson grading system at the time of initial assessment in the theater. The geometry and degree of bone comminution were graded from type A to C using admission radiographs according to the classification of the Orthopedic Trauma Association.(2) External fixation is a surgical treatment used to stabilize bone and soft tissue in open fractures, using uniplanar, biplane circular,hybrid types, unilateral external fixator used as primary and definitive treatment for open fractures with sever soft tissues injure threatened compartment syndrome and multiple injured patients.(3) Although temporary external fixation promote immediate fracture stabilization, allows three plane correction of the injury, minimal blood loss, allow early mobilization and ambulation, and sometimes an external fixator is inevitable in repairing an open fracture. pin track infections, delayed union, translation or malalignment, nonunion, and patient discomfort remain the most common complications associated with external fixation.(4)