External Fixators: Indications & Advantages
In an External Fixation System, pins are inserted in the skin into the bone and held in place by an external frame. Thus, there is no placement of Orthopedic implants internally.
The usual indications are open fractures such as a tibia fracture which needs dressings or attention to a wound or flap. It can also be used with closed fractures, for example, unstable radius fracture.
External fixation is most successful in superficial bones, for example, the tibial shaft. Avoid it in deeper bones, e.g. the humerus or femur – here the chance of pin tract sepsis is greater. External Fixators are often used in the management of tibial fractures.
https://www.siiora.com/blogs/external-fixators-indications-advantages/
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