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Numerous pinning techniques have been proposed, however there is not enough evidence to determine which is more effective. [1] Pinning involves the manipulation, with X-ray guidance, of the fracture into an acceptable position, and the immediate insertion of metal pins, called Kirschner wires, through the skin, into one bone fragment and across the fracture line into the other bone fragment.
Age, bone type, drug therapy and pre-existing bone pathology are factors that affect healing. The role of bone healing is to produce new bone without a scar as seen in other tissues which would be a structural weakness or deformity. [2] The process of the entire regeneration of the bone can depend on the angle of dislocation or fracture.
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]
In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars , traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
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. The medical device shares a number of components and features of the Ilizarov apparatus.
Traction involves using a pulling force to align bones and reduce fractures, particularly in cases involving the spine, pelvis, or long bones. It can be achieved through a variety of mechanisms, including skin traction (using adhesive materials attached to the skin) or skeletal traction (which involves pins or wires placed directly into the bone).
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.
Traction is a set of mechanisms for straightening broken bones or relieving pressure on the spine [1] and skeletal system. There are two types of traction: skin traction and skeletal traction. They are used in orthopedic medicine.