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Intermediate Technical IVT

provisional fixation

Temporary stabilization of fracture fragments during surgery to maintain reduction while applying definitive fixation.

Full Definition

Provisional fixation refers to temporary stabilization techniques used intraoperatively to hold fracture fragments in proper alignment while definitive fixation is applied. Common methods include Kirschner wires, reduction clamps, and temporary screws that maintain fracture reduction during plate application or other fixation procedures. This technique is essential for complex reconstructions where multiple fragments must be held in precise position. Provisional fixation devices are typically removed once definitive fixation is complete, though some may be left in place if they do not interfere with final construct stability.

Usage

Usage note: Specify whether provisional fixation devices are removed or retained in the final construct.

In Context

  • "K-wires were used for provisional fixation while the plate was positioned and secured." — Surgical technique description
  • "Provisional fixation with reduction clamps maintained fracture alignment during screw insertion." — Operative report

Also known as

temporary fixation reduction maintenance

Contrasted with

definitive fixation final fixation

Don't confuse with

preliminary fixation external fixation

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