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Open vs closed fracture8/27/2023 ![]() ![]() The timeframe for return to your daily activities depends on the type of fracture and the severity of your injury. It is then removed in a subsequent (later) procedure when the fracture is healed. Sometimes, however, an external fixator is used to stabilize the bones until healing is complete. In most cases, an external fixator is kept in place only until it is safe to perform internal fixation. In some cases, the wound may need further debridement or skin and tissue grafting to cover the injured bone. ![]() The external fixator has the advantage of stabilizing the broken bone while your doctor cares for the wound. The pins and screws project out (stick out) of the skin where they are attached to metal or carbon fiber bars. In this operation, the doctor inserts metal screws or pins through the skin into the bone above and below the fracture site. Most severe open fractures are first stabilized with external fixation. If your wound and broken bones are not yet ready for a permanent implant, your doctor may apply external fixation to your injured limb. In this severe open fracture, the doctor closes the wound with stitches after debridement and external fixation.
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