Transcription of Principles of External Fixation
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Principles OF External Fixation Dan D. Kemper, Kaiser Permanente Orthopaedic Trauma Service Walnut Creek, California Revised Oct. 2014 Contributing author: David W. Lowenberg, Clinical Professor Chief, Orthopaedic Trauma Service Department of Orthopaedic Surgery Stanford University School of Medicine Original Authors: Alvin Ong & Roman Hayda 2004 Revised by Roman Hayda 2008 OVERVIEW Historical perspective Generations of frame types Components of External Fixation Biomechanics of frame stability and fracture healing Clinical applications Complications GOALS Understand different types of frame construction Understand the limitations and advantages Understand the biomechanics of different frame types Putting it all together to best match the patient and goal GOAL IS TO CREATE A STABLE CONSTRUCT WITH LOW SHEAR AND TORQUE AND HIGH MICROMOTION AT LEVEL OF FRACTURE HISTORICAL PERSPECTIVE Unilateral frame (Late 1800s-1900s)
PRINCIPLES OF EXTERNAL FIXATION Dan D. Kemper, M.D. Kaiser Permanente . Orthopaedic Trauma Service . Walnut Creek, California . ... common problem ... Use the appropriate pin size for the application . Avoid unicortical pin .
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