Internal and external fixation PDF

INTERNAL AND EXTERNAL FIXATION

EXTERNAL FIXATION
a method of immobilizing bones to allow a
fracture to heal. External fixation is
accomplished by placing pins or screws into
the bone on both sides of the fracture. The
pins are then secured together outside the
skin with clamps and rods. The clamps and
rods are known as the "external frame."

NURSING CONSIDERATIONS FOR EXTERNAL
FIXATION DEVICE
Alleviate Pain
Elevate the extremity as prescribed by the
doctor- to help prevent swelling and pain
Make sure the leg is safely and securely
positioned
With an open lesion, the patient is likely to have
had the external fixation device applied with
very little explanation. Take time to have
therapeutic communication with the family and
the patient, to promote relaxation that can help
reduce the pain.

NURSING CONSIDERATIONS FOR EXTERNAL
FIXATION DEVICE
Increase Mobility
After surgery, make sure the leg with
external fixation is to be positioned higher
than the heart; therefore, the patient may
be asked to not have the HOB elevated
more than a few degrees.
The leg and the external fixator must be
moved as a unit.

Do not place your hands under the fracture
site to assist with the movement as this may
cause you to apply stress and even slightly
manipulate the fracture site.
Active and passive range-of-motion
exercises for all unaffected extremities
should be stressed

Patient Teaching and Home Care
Considerations
Provide emotional support
Patients with open lesions go home with
the external fixation device in place,
instruct the family and patient on how to
do pin site care and how to cleanse the
skin under the device.
Some physicians believe that washing with
soap and water during the daily shower is
best for closed fractures.