Internal fixation (osteosynthesis)

Internal fixation (osteosynthesis) consists of stabilizing a fracture using surgical hardware: screwed plates, intramedullary nails, screws or pins. This fixation holds the bone fragments in a correct anatomical position throughout the healing period, which promotes quality healing and rapid functional recovery. It is indicated when the fracture is displaced, unstable or articular, or when treatment with a cast would not achieve a good result. It often allows early mobilization of the neighboring joint, thereby limiting the stiffness and muscle wasting associated with prolonged immobilization. The choice of hardware and technique depends on the bone involved, the type of fracture and the patient's profile. The operation is performed under intra-operative radiological guidance, guaranteeing precise positioning of the implants. The hardware is generally well tolerated and is only removed if it becomes bothersome. At Clinique Pasteur Tunis, internal fixation procedures are performed in operating theaters equipped with fluoroscopic imaging and a complete range of fixation hardware, by an orthopedic team available for emergencies as well as scheduled surgery.