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Patient Care Considerations with External Fixators

• Pin Site Care: Clean daily using sterile technique to prevent osteomyelitis.
• Weight-Bearing Guidelines: Determine based on fracture stability and physician
recommendations.
• Psychosocial Support: Educate patients on device function and expected duration.
• Activity Modification: Encourage gentle movement to prevent joint stiffness.

Complications and Risk Management

1. Infection Control

• Most common complication, especially at pin insertion sites.
• Prevention: Daily pin cleaning, aseptic dressing changes, and early detection of
redness/swelling.

2. Neurovascular Compromise

• Signs: Numbness, tingling, cool extremity, or pulselessness.
• Prevention: Regular neurovascular checks (capillary refill, motor function, and
sensation).

3. Pin Loosening or Breakage

• Can lead to loss of fracture stability.
• Prevention: Regular assessment of frame integrity and early intervention if loosening
occurs.

4. Deep Vein Thrombosis (DVT)

• Risk due to prolonged immobility.
• Prevention: Early mobilization, compression devices, and anticoagulation therapy as
needed.