Simini Boards Cast

External Skeletal Fixation: Frames, Forces & Failures

Simini Podcasts Season 1 Episode 42

In this BoardsCast episode, we bring structure to the world of external skeletal fixation — exploring how frame design, fixation forces, and biological constraints determine outcomes in fracture repair. Whether you're pinning a toy dog radius or managing a segmental tibial gap, knowing how to build (and when to remove) an ESF makes or breaks the result.

You’ll learn:

  • The four core ESF frame types and when to use each
  • How pin size, number, and placement affect stiffness and strain
  • Differences between linear, circular, and hybrid constructs
  • Why most failures come from overloading or under-thinking the frame
  • Best practices for postop care, frame removal, and avoiding complications
  • Case-based planning strategies for the boards and beyond

From fixation theory to pin-site infection, this episode gives you a blueprint to build it right the first time.

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