Mesoamerican Long Count calendar 20, 2012 (Gregorian Calendar), followed by the start of the 14th b'ak'tun, 13.0.0.0.0, on December 21, 2012. There are only two references to the current creation's 13th b'ak'tun in the fragmentary Mayan corpus: Tortuguero Monument 6, part of a ruler's inscription and the recently discovered La Corona Hieroglyphic Stairway 2, Block V. Maya inscriptions occasionally reference future predicted events or commemorations that would occur on dates that lie beyond 2012 (that is, beyond the completion of the 13th "b'ak'tun" of the current era). Most of these are in the form of "distance dates" where some Long Count date is given,
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