![]() Bone graft can be taken from a donor (allograft) or from another bone in your own body (autograft)-most often the pelvis. If some of the bone has been lost through the wound or is crushed, the fracture may require bone graft to fill the gaps. At the end of the procedure, the nerve will be put back in place. In most cases, your doctor will need to gently move the ulnar nerve to prevent it from being injured during surgery. Depending on the fracture, your doctor may have specific considerations during the repair, including: During the procedure, the bone fragments are first repositioned (reduced) into their normal alignment and then held in place with plates and screws attached to the outside of the bone. This is the procedure most often used to treat distal humerus fractures. It gives damaged skin time to improve before surgery to fix the fracture and may reduce the risk of infection. The external fixator acts as a frame to help hold the elbow in a good position until a second surgery can be performed. The pins project out of the skin and are attached to carbon fiber bars outside the skin. In this operation, the doctor makes small incisions into the skin and inserts metal pins through the bones. For severe open fractures, your doctor may apply an external fixator to hold the bones in place until a second surgery can take place. In some cases, however, open fractures will require more than one surgery. The bone will typically be repaired during the same surgery. During surgery, the cuts from the injury and the surfaces of the broken bone are thoroughly cleaned out. Patient are given antibiotics by vein (intravenous) in the emergency room, and may receive a tetanus shot.
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