External Fixation Before Planned Conversion to Internal Fixation in Orthopaedic Trauma: Controversies and Current Trends.

J Am Acad Orthop Surg · Oct 01 2024 · Review

Wynn MS, Jang Y, Ochenjele G, Natoli RM

From the Department of Orthopaedic Surgery, Indiana University Methodist Hospital, Indianapolis, OH (Ochenjele)

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review discusses ongoing controversies in external fixation for trauma, including pin insertion and care techniques, timing and safety of conversion to internal fixation, and pin-site management, to guide current practice.
Abstract, as published

External fixation is a widely used technique for a myriad of bone fractures and pathologies in all extremities. Despite its widespread use, controversies and unknowns still exist. This review article seeks to discuss current literature surrounding pin insertion technique, pin-site care, intraoperative use during conversion to definitive fixation, the relationship of pin sites to definitive fixation, and pin-site management after removal for temporary external fixation.

Featured in the 2026-08-18 issue.

← Forearm Nonunions-From Masquelet to Free Vascularized Bone Gr…Contemporary Management of Proximal Humeral Fractures. →

The Reduction is a free email digest of newly published orthopaedic literature — a handful of new papers in the subspecialties you choose, each summarized like this one. Subscribe free or browse the archive.