About External Fixation
Key Highlights
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Provides excellent stability for complex or unstable fractures.Minimizes disruption to the blood supply and soft tissues around the fracture.Allows for post-operative adjustments to bone alignment.Facilitates access for wound care and management of associated soft tissue injuries.Often used in cases of severe trauma where internal fixation is not feasible.Can be used for limb lengthening and deformity correction procedures./ul
Who is this surgery for?
- Severe open fractures (Gustilo Type III) with significant soft tissue damage.
- Comminuted fractures (bone shattered into multiple pieces).
- Fractures associated with severe burns or extensive soft tissue loss.
- Infected fractures or non-unions where internal hardware is contraindicated.
- Limb lengthening procedures (distraction osteogenesis).
- Correction of bony deformities or malunions.
- Complex pelvic or acetabular fractures.
- Initial stabilization in polytrauma patients.
How to prepare
- Comprehensive medical evaluation including blood tests and imaging (X-rays, CT scan).
- Management of any active infection at the surgical site.
- Discussion of anesthesia options (general or regional).
- Fasting for 6-8 hours prior to the procedure if general anesthesia is used.
- Adjustment or temporary cessation of certain medications (e.g., blood thinners) as advised by the surgeon.
- Informed consent process detailing the procedure, risks, and recovery expectations.
Risks & possible complications
- Pin site infection, which is the most common complication.
- Damage to nerves or blood vessels during pin insertion.
- Delayed union or non-union of the fracture.
- Pin loosening or breakage.
- Joint stiffness or limited range of motion.
- Chronic pain at the pin sites.
- Risk of deep vein thrombosis (DVT).
- Allergic reaction to the metal components (rare).
Recovery & hospital stay
- Hospital stay is required for initial pain management and monitoring.
- Regular pin site care is crucial to prevent infection (cleaning with prescribed solutions).
- Pain is managed with medications; swelling is controlled with elevation and ice.
- Physical therapy begins early to maintain joint mobility and muscle strength.
- Weight-bearing status is strictly determined by the surgeon based on fracture type.
- Regular follow-up X-rays are needed to monitor bone healing and frame stability.
- The external frame is removed in a clinic or operating room once healing is complete.
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Typical hospital stay: 3-7 days
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Expected recovery time: 12-24 weeks
Frequently Asked Questions
If you are considering external fixation in India, these questions and answers can help you make a confident, informed decision.
Popular choices for external fixation in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform external fixation. MediFyr helps you compare orthopedists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for external fixation compare across other countries where we have data.
Top hospitals for External Fixation in India
These partner hospitals in India have dedicated orthopedics teams and experience managing patients undergoing external fixation.
Pooja Shah, a 28-year-old elementary school...
Pooja Shah, a 28-year-old elementary school teacher and avid runner, was struck by a car while crossing the street on her way to work. She suffered a severe, open tibia-fibula fracture with significant bone displacement and soft tissue damage. The emergency room orthopedist explained that due to the contaminated nature of the open wound and the need to stabilize the complex fracture while allowing access for wound care, an external fixator was the best option. Pooja was terrified, especially when she saw the metal frame and pins protruding from her leg after surgery. The first weeks were challenging, dealing with pin site care, the weight and bulk of the frame, and the inability to bear weight. However, as the weeks turned into months, the fixator provided the stability needed for her bones to heal without infection. After three months, the frame was removed, and she transitioned to a cast and then intensive physiotherapy. Emotionally, she journeyed from shock and despair at the loss of her mobility and independence to a determined resilience. Seeing her bone healing progress on X-rays and eventually taking her first unaided steps filled her with profound gratitude and a hard-won sense of strength.
Orthopedists for External Fixation
Explore experienced orthopedists who regularly perform external fixation and provide pre- and post-operative care in India.
- 48 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 25 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 11 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 14 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 19 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 30 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 28 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 26 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 14 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore