Seekamp A, Lehmann U, Pizanis A, Pohlemann T
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätskliniken des Saarlandes, Homburg/Saar.
Chirurg. 2003 Apr;74(4):301-9. doi: 10.1007/s00104-003-0651-5.
The minimally invasive method has gained complete acceptance for the treatment of diaphyseal fractures. In the majority of cases, this procedure is combined with stabilization of the fracture with insertion of an intramedullary implant. In cases of metaphyseal fracture, use of minimally invasive techniques depends on the extent of simultaneous involvement of the articular surface. For joint fractures, the main goal is anatomic reconstruction. At the same time as these less invasive surgical procedures and markedly improved methods of visualization have evolved, the implants themselves have also advanced. The standard implant of the future for plate osteosynthesis will be the interlocking plate. Minimally invasive surgical techniques will certainly continue to gather ground in the future for the entire field of accident surgery. Reduction of the surgical approach means less postoperative pain for the patient, earlier mobilization, and shortening of hospital stay and the whole process of rehabilitation.
微创方法已完全被接受用于治疗骨干骨折。在大多数情况下，该手术与通过插入髓内植入物来稳定骨折相结合。对于干骺端骨折，微创技术的使用取决于关节面同时受累的程度。对于关节骨折，主要目标是解剖重建。在这些侵入性较小的外科手术和显著改进的可视化方法不断发展的同时，植入物本身也有了进步。未来钢板接骨术的标准植入物将是锁定钢板。微创外科技术在未来肯定会在整个创伤外科领域继续得到推广。缩小手术切口意味着患者术后疼痛减轻、更早活动、缩短住院时间以及整个康复过程。
