Radiographically, minute amounts of bridging callus will form across the fracture site when complete reconstruc- tion is achieved and absolute stability is maintained.
After biological fixation, however, the medullary canal had not been maintained and the main fragments were poorly aligned according to conven- tional standards Fig. In these cases, medial plate served as a reduction plate to ease the reduction difficulty and save the time.
However, precise reduction and absolute stable fixation has its biological price. In the current study, non-locked long more than 14 holes small fragment implants reconstruction or DCP used with a MIPO technique demonstrated excellent radiographic and clinical outcomes.
Journal of Orthopaedic Surgery ;20 1: Test sensory function of the lower limb. Distal metaphyseal fractures of tibia: With weight bearing, the lateral column of the femur bears tension and the medial column bears pressure.
Maintaining blood supply is essential to the healing of these fractures. Animals—Twenty client-owned dogs with comminuted long-bone fractures. In Fig 1, only a slight callus border is visible around the fragments; there is no clear sign of callus bridging of the fracture gap. The shoulder and elbow function was assessed using the UCLA shoulder and Mayo elbow performance scores, respectively.
The left lower extremity had a superficial abrasion over the right proximal tibia and there was swelling with deformity about the distal thigh. According to the difficulty of the reduction, the insertion order of the plates could be changed.
J Am Acad Orthop Surg.
There are some recognized limitations in the current study. In addi- tion, the effect of the PC-Fix on fracture healing in com- parison with that of the DCP and the histological aspects of healing were investigated over time. Acknowledgements This study was performed in accordance with the ethical standards of the Hospital Municipal Miguel Couto Institutional Review Board and with the Helsinki Declaration and its later amendments or comparable ethical standards.
The values for bone healing were improved by applying a plate with only point contact to the bone, thus conserving the periosteal blood supply. He is unable to recall what happened due to his dementia. I n t roduct ion The concept of biological osteosynthesis 1 refers basi- cally to the conservation of the vascularity of the bone 1 Abstracts in German, French, Italian, Spanish, Japanese and Russian are printed at the end of this supplement.
At present, a laterally locking plate is the most prevalent and effective method for the treatment of DFFs . When compared to intramedullary locked implants, another minimally invasive option for the management of these fractures, several authors have observed higher rates of malalignment and residual deformity from the nails [ 1125 ].plate osteosynthesis and thereby to expand clinical options in cases where the bridge plating is chosen for fracture This was a logical step towards a biological plate osteo- For the evaluation of the status of fracture healing, the two-plane radiographs of each patient after 3, 6, Minimally Invasive Plate Osteosynthesis in the Elderly Patient Kodi Edson Kojima & Jorge dos Santos Silva Published online: 5 April Minimally Invasive Plate Osteosynthesis in Osteoporotic Fractures Minimally invasive plate osteosynthesis (MIPO), also known life until the complete healing of the fracture [21, 22].
Conclusions— Biological osteosynthesis provides clinical advantages over anatomic reconstruction with respect to a reduction in surgical and healing time without increasing complication rates. Clinical Relevance— Highly comminuted long-bone fractures can be successfully repaired using an IN without reconstructing the fracture fragments in dogs.
Plate osteosynthesis is one treatment option for the stabilization of long bones. It is widely accepted to achieve bone healing with a dynamic and biological fixation where the perfusion of the bone is left intact and micromotion at the fracture gap is allowed.
Minimally invasive plate osteosynthesis (MIPO) technique is reported as a satisfactory procedure for the treatment of humeral shaft fractures by the anterior approach by several authors. However, none of the published reports had a significant follow-up nor have they reported patient outcomes.
Plate osteosynthesis is one treatment option for the stabilization of long bones. It is widely accepted to achieve bone healing with a dynamic and biological fixation where the perfusion of the bone is left intact and micromotion at the fracture gap is allowed.Download