Point-Counterpoint: Is External Fixation Overutilized?
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چکیده
Yes, Lawrence DiDomenico, DPM, says technological advances with internal fixation may reduce the need for external fixation. He notes that ex-fix may not be as cost-effective as AO techniques in facilitating early weightbearing, and also cites the anesthesia risks associated with external fixation. No, George Vito, DPM, says that fixators can provide sufficient osseous stability to facilitate bone healing. In addition to improving outcomes with the Charcot foot, external fixation can be beneficial as an adjunct with fracture repair and ankle fusions. The author also emphasizes the need for an improved understanding of the fundamentals of external fixation.
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