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Mu2 - ESF Frame Management (Not just fracture management (Stabilisation of…
Mu2 - ESF Frame Management
Aftercare
Controversial
Immediate management
Control soft tissue swelling
Long term management
Immobilise sof tissues around pins
Dressing and foam rubbr padding
Complicaitons
Persistent pin tract drainage
BEst avoided by soft tissuye managemnet
Accepted at some sites
Pin loosening
Promotes pin tract discharge
Remove loose pins
Revise frame if necessry
Aim to have small circle granulaiton tissue suounding pin
Resists infection
ESF/IM pin
"Tie in"
IM pin
Resists bending
Maintians alignment
ESF
Resists compression
Resists torsion
Anti-rotational two pin fixator
IM pin
Maintains alignment
Resists bending
ESF
Resists torsion
Resists axal collapse
Fracture
Resists axial collapse
Alows simple frame to be applied
Not just fracture management
Stabilisation of tarsal shearing injuries
Provides joint stability
Access for wound management
Portoection of tendion repair
Protection of ligament repairs