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Internal Fixation Versus External Fixation in Orthopaedic Implantology

Handbook of Orthopaedic Trauma Implantology

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Abstract

Multiple fracture fixation options are available to the orthopaedic surgeon today. These fixations have different indications, hardware, and biomechanics. External fixation is a versatile alternative that allows a swift application in emergency settings and is of great aid in reconstruction procedures such as distraction osteogenesis. Among external fixation constructs, monoplanar, modular, and circular fixations are the most widely known and frequently used in day-to-day practice. Internal fixation has evolved to provide implants that may be used in a wide array of clinical situations depending on fracture stability requirements. This allows the surgeon to treat patients appropriately. Internal fixation implants include interfragmentary screws, plates, and intramedullary nails, among other choices.

The knowledge on how to correctly use external or internal fixation is fundamental to offer the best possible outcome to trauma patients. This chapter focuses on the understanding of each fixation method and how these alternatives interact during the treatment of complex fracture patterns and how they might best be used to our advantage.

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Author information

Authors and Affiliations

  1. Orthopedic Surgery, Pontifical Catholic University of Chile, Santiago, Chile

    Rodrigo Donoso

  2. CARE Sports Injury, Puducherry, India

    S. Samundeeswari

  3. Pontifical Catholic University of Chile, Santiago, Chile

    Sebastián Irarrázaval

Authors
  1. Rodrigo Donoso
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  2. S. Samundeeswari
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  3. Sebastián Irarrázaval
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Corresponding author

Correspondence to Sebastián Irarrázaval .

Editor information

Editors and Affiliations

  1. Orthopaedic Surgery, NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Orthopaedic Surgery, NH Narayana Superspeciality and Multispeciality Hospitals, Kolkata, West Bengal, India

    Arindam Banerjee

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© 2023 Springer Nature Singapore Pte Ltd.

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Donoso, R., Samundeeswari, S., Irarrázaval, S. (2023). Internal Fixation Versus External Fixation in Orthopaedic Implantology. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-15-6278-5_6-2

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  • DOI: https://doi.org/10.1007/978-981-15-6278-5_6-2

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-6278-5

  • Online ISBN: 978-981-15-6278-5

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Chapter history

  1. Latest

    Internal Fixation versus External Fixation in Orthopaedic Trauma Implantology
    Published:
    04 August 2023

    DOI: https://doi.org/10.1007/978-981-15-6278-5_6-4

  2. Internal Fixation versus External Fixation in Orthopaedic Trauma Implantology
    Published:
    15 July 2023

    DOI: https://doi.org/10.1007/978-981-15-6278-5_6-3

  3. Internal Fixation Versus External Fixation in Orthopaedic Implantology
    Published:
    14 April 2023

    DOI: https://doi.org/10.1007/978-981-15-6278-5_6-2

  4. Original

    Internal Fixation Versus External Fixation in Orthopedic Implantology
    Published:
    18 June 2021

    DOI: https://doi.org/10.1007/978-981-15-6278-5_6-1

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