Mesoamerican calendars was of ritual significance to a number of Mesoamerican cultures. A third major calendar form known as the Long Count is found in the inscriptions of several Mesoamerican cultures, most famously those of the Maya civilization who developed it to its fullest extent during the Classic period (ca. 200–900 CE). The Long Count provided the ability to uniquely identify days over a much longer period of time, by combining a sequence of day-counts or cycles of increasing length, calculated or set from a particular date in the mythical past. Most commonly, five such higher-order cycles in a modified vigesimal (base-20)
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