Mesoamerican architecture there is no evidence that this phenomenon was the result of a purposeful design intended to commemorate the equinoxes. Much Mesoamerican architecture is also aligned to roughly 15° east of north. Vincent H Malmstrom has argued that this is because of a general wish to align the pyramids to face the sunset on August 13, which was the beginning date of the Maya Long Count calendar. However, recent research has shown that the earliest orientations marking sunsets on August 13 (and April 30) occur outside of the Maya area. Their purpose must have been to record the dates separated by
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