Abstract: This invention relates to methods, devices, and systems for preventing complications, including for example, infection associated with any percutaneous or external fixation of bones by placing a pharmacological sleeve over an external fixation element. The pharmacological sleeve may be comprised of a polymer sleeve having one or more internal splines along at least part of the inner surface of the sleeve. The sleeve may be suffused or coated on any or all surfaces with a pharmacological coating which allows accumulation of drugs in the tissue surrounding the external fixation element, thereby reducing potential complications.