Fracture healing in biological plate osteosynthesis

Shoulder function was excellent in 27 cases This kind of osteosynthesis resulted not only in lack of callus formation but also in decreased bone perfusion.

MIPO of the humerus gives good functional and cosmetic results and should be considered one of the management options in the treatment of humeral diaphyseal fractures.

Locking plates are recommended only in fractures close to the joint. Minimally invasive plate osteosynthesis, diaphyseal fracture, humerus INTRODUCTION The conflict between the need for absolute anatomical reduction and, at the same time, the desire for soft tissue preservation has been going on for a long time.

All patients were operated by the same surgeon AK. Periosteum and muscle tissue had to be removed to obtain an anatomical reduction of all fragments. A routine preoperative clinical evaluation of the affected arm was carried out noting the swelling, abrasions, contusion, puckering of skin and distal neurovascular deficit, including the status of the radial nerve.

Furthermore, it was difficult to monitor fracture healing by radiographs. The mean surgical time was Lag screws, especially through the plate, must be avoided whenever possible. Oblique screws at the plate ends increase the pullout strength.

Minimally invasive plate osteosynthesis for humerus diaphyseal fractures

The surgery time, radiation exposure, and time for union was noted. Although many lower limb shaft fractures are managed successfully with intramedullary nails, there are some important advantages of open-reduction-and-plate fixation: We evaluated the clinical, radiographic, and functional outcome over a minimum follow-up of 2 years using the same MIPO technique to humeral shaft fracture.

Lag screws and screws close to the fracture site reduce micromotion dramatically. The shoulder and elbow function was assessed using the UCLA shoulder and Mayo elbow performance scores, respectively.

The mean age was 39 years range: Elbow function was excellent in 26 cases The surgeon performing a plate osteosynthesis has the possibility to influence fixation strength and micromotion at the fracture gap. Twenty-seven of the thirty-two patients Two or three holes at the fracture site should be omitted.

Dynamic plate osteosynthesis can be achieved by applying some simple rules: From a rigid to a dynamic plate osteosynthesis For many years the goal for fracture stabilization of long bones was an exact reduction of all fracture fragments in combination with a rigid osteosynthesis Figure 1.

The mean radiological fracture union time was Find articles by Juerg Sonderegger Karl R. Abstract Plate osteosynthesis is one treatment option for the stabilization of long bones.

However, precise reduction and absolute stable fixation has its biological price. 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. The operative procedure was performed within 5 days of the injury.types of fractures, namely, stable, closed reductible greatest advantage of this type of asset is the biological osteosynthesis, favored by indirect reduction, preservation of the blood supply of all fragments, including.

Keywords: Proximal tibial fractures, Minimally invasive plate osteosynthesis INTRODUCTION A fracture is the result of mechanical overload with important biological consequences. Proper understanding of mechanical complex fractures.3 The MIPO technique allows biological fracture healing by preserving the vascularity.

Dynamic plate osteosynthesis for fracture stabilization: how to do it

The plate is inserted through one of the insertion incisions and tunneled along the periosteal surface of the bone, spanning the fracture site. 9 This technique conforms to the principles of biological osteosynthesis because the fracture site is not exposed and the fracture hematoma is only minimally disturbed.

The plate should be long enough to bridge the fracture over the danger zone of the radial nerve. 13 Anterior intervention to the humerus, which is suitable for mid-distal third humeral shaft fractures in many minimally invasive plating osteosynthesis applications, is preferred because the radial nerve does not need to be exposed.

Mar 20,  · 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.

Objective—To evaluate fracture healing after minimally invasive plate osteosynthesis (MIPO) or open reduction and internal fixation (ORIF) of coexisting radius and ulna fractures in dogs via ultrasonography and radiography.

Fracture healing in biological plate osteosynthesis
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