Mesoamerican Long Count calendar be August 11, 3114 BCE in the proleptic Gregorian calendar or September 6 in the Julian calendar (or −3113 in astronomical year numbering). There has been much debate over the precise correlation between the Western calendars and the Long Count calendars. The August 11 date is based on the GMT correlation (see Correlations between Western calendars and the Long Count calendar section elsewhere in this article for details on correlations). The completion of 13 b'ak'tuns (August 11, 3114 BCE) marks the Creation of the world of human beings according to the Maya. On this day, Raised-up-Sky-Lord caused three stones to
Internal fixation some fractures. "Internal fixation" refers to fixation of screws and/or plates, intramedullary bone nails (femur, tibia, humerus) to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infection, which happens when implants such as plates (e.g. dynamic compression plate) are used. Open Reduction Internal Fixation techniques often are used in cases involving serious fractures such as comminuted or displaced fractures or, in cases where the bone otherwise would not heal correctly with casting or splinting alone. Risks and complications may include bacterial colonization of the bone, infection, stiffness and loss of range