What is the appropriate timing of conversion to internal fixation (in-fix) following external fixation (ex-fix)? How is this altered by pin site infection?

Authors: Brianna Fram, Paul Tornetta III

RECOMMENDATION: Timing of conversion should be based on patient characteristics including concurrent injuries and premorbid health and function, as well as injury features and location. One-stage conversion appears to have similar or even lower infection rates compared to two-stage conversion. In the absence of pin site infection, early conversion is preferred.

LEVEL OF EVIDENCE: Limited

DELEGATE VOTE: Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus)

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