What surgical devices are typically used for internal fixation of a compound fracture of the tibia and fibula?

For internal fixation of a compound fracture of the tibia and fibula, several devices may be required depending on the specific fracture pattern and location.

• I. Pins: These can be used for temporary fixation, to aid in reduction of bone fragments, or to fix smaller fragments, often in conjunction with other devices.
• III. Intramedullary rods: These are commonly used for stabilizing fractures of the shaft (diaphysis) of long bones like the tibia. The rod is inserted into the hollow center of the bone.
• IV. Intraosseous plates: These are metal plates secured to the surface of the bone with screws. They are frequently used for fractures of the fibula, as well as for certain types of tibia fractures, particularly those near the joints (metaphyseal or articular fractures).

Bioabsorbable screws (II) are generally not the primary choice for robust internal fixation of a compound long bone fracture due to the high mechanical demands and the need for strong, stable fixation in such injuries.

Therefore, the devices that would typically be required for this procedure include:

• I. Pins
• III. Intramedullary rods
• IV. Intraosseous plates