Complex fractures are complicated and require a lengthy healing process from surgery to rehabilitation since more than just bones are impacted. It's important for treatment plans to be carefully designed since no two fractures are the same. After debridement, which is the removal of dead tissue and cleaning of healthy tissue, stabilization may be accomplished through several ways: external, internal or ring fixation with extensive antibiotic coverage. Unlike other centres, Penn most often uses what is called external ring fixation which requires no implants or metal eliminating the risk of implant infection. Once the soft tissue and bone are stabilized, surgeons will evaluate the injury with additional studies and imaging and determine the best treatment plan including techniques and expertise from all specialities in the centre including orthopaedic trauma, microvascular surgery, plastic surgery, and other specialities.
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