Die biologische Plattenosteosynthese [The biological plate osteosynthesis].

Détails

ID Serval
serval:BIB_0F8163CCC4A7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Die biologische Plattenosteosynthese [The biological plate osteosynthesis].
Périodique
Zentralblatt für Chirurgie
Auteur⸱e⸱s
Gautier E., Ganz R.
ISSN
0044-409X (Print)
ISSN-L
0044-409X
Statut éditorial
Publié
Date de publication
1994
Volume
119
Numéro
8
Pages
564-572
Langue
allemand
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Résumé
The continually evolving understanding of bone biology and the analysis of clinical complications have led to a modified approach in internal fixation using plates. Anatomical reduction of the fragments in comminuted diaphyseal and metaphyseal fractures itself is no longer a goal. Important reduction aims are the correct length of the bone, and axial and torsional alignment. The preservation of the viability of the bone fragments is the key to unimpaired fracture healing. The primary stability of an osteosynthesis seems to be of minor importance for bone healing. More important is the rapid integration of unreduced but vital fragments into the fracture callus which buttresses the fracture area opposite the plate reducing the risk for overload and fatigue failure of the implant. Additional primary bone grafting leeds to local vascular disturbance of the bone and is rarely indicated. Indirect reduction technique with the aid of the fracture table or the distractor and a minimal but optimal use of implant material is the new concept to achieve undisturbed fracture repair in metaphyseal and diaphyseal fractures. In articular fractures the anatomic restoration of the articular surface can be obtained by the combination of indirect reduction technique (ligamentotaxis, soft tissue taxis) and accurate direct reduction of certain strategic fragments. Modifications of the plate design (limited contact, point contact) which minimize additional vascular damage to the bone help to accomplish this new concept.
Mots-clé
Ankle Injuries/radiography, Ankle Injuries/surgery, Biomechanics, Bone Plates, Femoral Fractures/radiography, Femoral Fractures/surgery, Fracture Fixation, Internal/instrumentation, Fracture Healing/physiology, Hip Fractures/radiography, Hip Fractures/surgery, Humans, Knee Injuries/radiography, Knee Injuries/surgery, Osteonecrosis/radiography, Osteonecrosis/surgery, Postoperative Complications/radiography, Postoperative Complications/surgery, Reoperation, Tibial Fractures/radiography, Tibial Fractures/surgery
Pubmed
Web of science
Création de la notice
26/11/2012 20:26
Dernière modification de la notice
20/08/2019 13:36
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