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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]
A Taylor Spatial Frame on the left leg consisting of metal rings, pins and struts. The Taylor Spatial Frame (TSF) is an external fixator used by podiatric and orthopaedic surgeons to treat complex fractures [1] and bone deformities.
Pin tract infection: Because K-wires often pass through the skin into bone they form a potential passage for bacteria from the skin to migrate into the bone and cause an infection. 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.
Replantation or reattachment is defined as the surgical reattachment of a body part (such as a finger, hand, or toe) that has been completely cut from the body. [1] Examples include reattachment of a partially or fully amputated finger, or reattachment of a kidney that had had an avulsion-type injury.
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.
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It is common to do a cast change with anesthesia after 3–4 weeks, so that pins can be removed and a mold can be made to fabricate a custom AFO brace. The new cast is left in place until the AFO is available. When the cast is removed, the AFO is worn to prevent the foot from returning to the old position. [30]
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