Mitković M, Bumbasirević M, Golubović Z, Mladenović D, Milenković S, Mićić I, Lesić A, Bumbasirević V, Pavlovic P, Karalejić S, Kuljanin G
Orthopaedics and Traumatology Clinic, Faculty of Medicine, University of Nis.
Acta Chir Iugosl. 2005;52(2):113-6. doi: 10.2298/aci0502113m.
One of the main goals in fracture treatment is reservation of both intramedular and periosteal vascularisation. The aim of this paper is to show a new method of internal fixation which accomplishes these goals. The paper presents the results of clinical application of Mitkovic Internal Fixator, new self-dynamisable device, which provides fixation of the femur using minimally invasive technique. This device has been investigated experimentally on 60 animals. It has been applied to 267 patients. Here is presented a series of 92 fixations of femoral diaphyses after fresh fractures and after unsuccessful treatment using other methods. Follow-up was 3.1 years (2 to 7 years). Bone healing was achieved in all patients within 3.5 months (2.7-9 months) with big amount of periosteal callus formation. There were no complications in all patients seen. It can be concluded that this method and device meet biological and biomechanical requirements for safe fracture treatment.
骨折治疗的主要目标之一是保留骨髓和骨膜的血管化。本文的目的是展示一种实现这些目标的新型内固定方法。本文介绍了Mitkovic内固定器的临床应用结果，这是一种新型的可自我动力化装置，采用微创技术对股骨进行固定。该装置已在60只动物身上进行了实验研究。它已应用于267例患者。本文展示了92例新鲜骨折后及其他方法治疗失败后股骨干固定的病例系列。随访时间为3.1年（2至7年）。所有患者均在3.5个月（2.7至9个月）内实现骨愈合，伴有大量骨膜骨痂形成。所有患者均未出现并发症。可以得出结论，这种方法和装置符合安全骨折治疗的生物学和生物力学要求。
