Advances in operative treatment of fractures of upper and lower extremities
Authors:
J. Bartoníček
Authors‘ workplace:
Primář: prof. MUDr. Jan Bartoníček, DrSc.
; Ředitel: plk. prof. MUDr. Miroslav Zavoral, PhD.
; Oddělení ortopedie, traumatologie a rekonstrukční chirurgie
; Ústřední vojenská nemocnice, Praha-Střešovice
Published in:
Prakt. Lék. 2011; 91(8): 457-464
Category:
Various Specialization
Overview
Recently, surgical treatment of fractures has undergone a number of important changes. New types of implants have been developed, primarily locking plates and locked intramedullary nails. The main trend is in the anatomical pre-shaping of these implants, i.e. optimizing their construction whilst respecting the anatomy of the bone for which they are designed. In addition, the surgical technique is optimized in order to protect soft tissues and the bone’s blood supply as much as possible. Surgeons, therefore, frequently use mini-invasive techniques and insert implants through small incisions under the control of a monitor.
However, despite all the progress made, a correct internal bone fixation must always respect the basic biological and biomechanical principles. Implants should help to meet these principles as best as possible and thus they have to adjust to them and not vice versa.
Key words:
operative treatments of fractures, advance, locking plates, intramedullary nailing.
Sources
1. Bartoníček, J. Osteosyntéza zlomenin, vývoj, komplikace a jejich řešení. Acta Chir. Orthop. Traumatol. Čechoslov. 1997, 64, s. 366-370.
2. Bartoníček, J. Historie operační léčby zlomenin. II. část: Historie AO/ASIF. Ortopedie 2008, 2, s. 233-239.
3. Bartoníček, J., Džupa, V., Frič, V. a kol. Epidemiologie a ekonomie zlomenin proximálního femuru, proximálního humeru, distálního radia a luxačních zlomenin hlezna. Rozhl. Chir. 2008, 87, s. 213-219.
4. Browner, B.D., Jupiter, J., Levine, A.M. et al. (eds). Skeletal trauma. Philadelphia: Saunders 2009.
5. Rüedi, T.P., Murphy, W.M. (eds). AO principles of fracture management. Stuttgart: Thieme 2000.
6. Müller, M.E., Allgöwer, M., Willenegger, H., Schneider, R. (eds). Manual of internal fixation. Berlin: Springer 1991.
7. Standard, J.P., Schmidt, A.H., Gregor, P.J. (eds). Surgical treatment of orthopaedic trauma. New York, Stuttgart: Thieme 2007.
8. Wagner, M., Frigg, R. Internal fixators. Stuttgart: Thieme 2006.
9. Wiss, D.A. (ed). Master techniques in orthopaedic surgery. Philadelphia: Lippincot Williams and Wilkins 2006.
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General Practitioner
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