Diaphyseal Fractures

  • Dolfi HerscoviciJr.
  • Julia M. Scaduto


Temporary external fixation for the management of diaphyseal and intra-articular fractures is an extremely valuable tool for the care of trauma patients. Use of a simple uniplanar fixator will allow for quick application and greater access to the surrounding soft tissues and wounds. It is important to have a good understanding of the cross-sectional anatomy of the limb, to consider the three anatomic corridors (safe, hazardous, and unsafe) that can be used for pin placement, and to use good techniques for pin insertion. If more stability is needed, it can be increased with the addition of a second (intercalary) bar or by adding a posterior splint to the extremity. Lastly, there is insufficient evidence to promote any recommendations regarding the optimal frequency for pin site care or any specific recommendations addressing cleansing strategies of the pin site in order to reduce the risk of infection.


External fixation Provisional fixation Spanning frames Damage control Uniplanar fixator Temporary fixation Diaphyseal and intra-articular fractures 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dolfi HerscoviciJr.
    • 1
  • Julia M. Scaduto
    • 1
  1. 1.Center for Bone and Joint DiseaseHudsonUSA

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