Mesoamerican Long Count calendar 18. Thus 0.0.1.0.0 does not represent 400 days, but rather only 360 days and 0.0.0.17.19 represents 359 days. The name "b'ak'tun" was invented by modern scholars. The numbered Long Count was no longer in use by the time the Spanish arrived in the Yucatán Peninsula, although unnumbered k'atuns and tuns were still in use. Instead the Maya were using an abbreviated Short Count. Long Count dates are written with Mesoamerican numerals, as shown on this table. A dot represents "1" while a bar equals "5". The shell glyph was used to represent the zero concept. The Long Count calendar required
External fixation usually used when internal fixation is contraindicated- often to treat open fractures, or as a temporary solution. External fixation is also used in limb lengthening. People with short limbs can have, for example, legs lengthened. In most cases the thigh bone (femur) is cut diagonally in a surgical procedure under anesthesia. External fixator pins or wires (as above) are placed each side of the 'man made fracture' and the external metal apparatus is used to very gradually push the two sides of the bone apart millimetre by millimetre day by day and week by week. Bone will gradually grow into