external fixation

Acute management

EMST / ATLS PrinciplesPelvic Fracture APC

 

Usually polytrauma

- 10% mortality

 

Aims

1. Volume replacement

2. Reduce pelvic ring

3. Stop exsanguination

- external stabilisation / surgery / embolisation

 

Associated Local Injuries

 

Arterial bleeders

Arthrodesis

IssuesKnee fusion 3

 

Like elbow arthrodesis, knee arthrodesis is an option of last resort

 

Example

- cannot sit on airplane toilet with door closed

 

Aims

 

Coapt 2 coplanar cancellous surfaces under compression with rigid fixation

 

Indications

 

Septic arthritis

Salvage failed TKR / infected TKR

Tumour

Charcot Join

PFFD