Shoulder function was excellent in 27 cases This study was approved by the Institutional Ethical Committee. The concepts and techniques of minimally invasive osteosynthesis are progressively gaining acceptance as an alternative to previously described methods of repair.
The inclusion criterion was displaced diaphyseal fracture of humerus between 21 and 75 years and who consented to participate in the study. Preoperative radiographs and a normal bone specimen can be used for reference during surgery; however, specialized training and regular practice are essential for proficiency.
The mean surgical time was Although critical for the reduction of articular and metaphyseal fractures, intraoperative imaging for diaphyseal fractures is considered beneficial but not necessary.
Elbow function was excellent in 26 cases The cases were followed up for a minimum period of 2 years. The minimally invasive plate osteosyntesis MIPO of humerus shaft fracture has shown promising results recently.
The operative procedure was performed within 5 days of the injury. 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. However, in part because of the lack of direct observation of fracture segments, proper implementation of minimally invasive osteosynthesis techniques is associated with a steep learning curve.
Not just solid healing, but immediate and continuous function of the limb is now a leading goal. The mean age was 39 years range: Minimally invasive osteosynthesis most effectively preserves an optimal biologic environment for fracture healing.
Minimally Invasive Osteosynthesis With minimally invasive osteosynthesis, open exposure of the fracture is not performed, and only small incisions remote from the fracture site are used to achieve closed reduction and fixation FigureC. However, none of the published reports had a significant follow-up nor have they reported patient outcomes.
These radiographs were also used to template the appropriate length of implant and planning the number and position of screws and their order of insertion.
The unique conformation and large surrounding muscle mass of some bones can make closed reduction particularly challenging. 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.
Twenty-seven of the thirty-two patients The surgery time, radiation exposure, and time for union was noted. However, precise reduction and absolute stable fixation has its biological price.minimally invasive, symmetric and dynamic fracture fixation, following the principles of biological fracture fixation, and is therefore the treatment of choice in distal tibial fractures.
Recently, techniques of closed For minimally invasive plate osteosynthesis of distal, tibial fractures the patient is placed supine. Unlike bone plates, interlocking nails fully support the concept of biological osteosynthesis which argues that soft tissue protection and the restoration of blood supply to bone fragments are more important than anatomical reconstruction in the treatment of long bone shaft fractures (Aron et al., ; Johnson et al., ; Johnson et al., ;.
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.
and rigid internal fixation.
Open reduction of fracture fragments and application of internal fixation require significant disruption of the soft tissues associated with the fracture site. This iatrogenic damage inevitably damages the intrinsic blood supply to the area and impedes healing to various degrees.
BIOLOGICAL OSTEOSYNTHESIS: MINIMINAL INVAZIVE PLATE OSTHEOSYNTHESIS VS. CASTING/SPLINTING biological osteosynthesis, favored by indirect reduction, preservation of the blood supply of all fragments, including Open Reduction Internal Fixation and stable fractures of the distal radius and ulna.
what are examples of internal fracture fixation. external skeletal fixator. Internal fracture fixation. Immobilization What are the 2 methods with Biological Osteosynthesis. Open but do not touch they are not manipulated during implant placement minimal disturbance of hematoma, periosteum and blood supply.Download