Klaue K
Clinica Luganese Moncucco, Via Moncucco 10, CH-6900 Lugano, Schweiz.
Orthopade. 2010 Feb;39(2):139-48. doi: 10.1007/s00132-009-1519-2.
Consolidation of bone is an essential clinical problem when treating fractures, fixing osteotomies and fusing joints. In most cases, the means of fixation are plates and screws. The goal is functional postoperative therapy by moving the adjacent joints and thus avoiding the deleterious disadvantages of long-lasting articular immobilization. Pre-operative planning, surgical approach, a good understanding of the precise mechanics of the structure and the biological answer for the various tissues are prerequisites of successful osteosynthesis. The choice of implants and the application of their versatility, as well as their adaptation to individual cases are the key to good results.
在治疗骨折、固定截骨术和融合关节时,骨愈合是一个至关重要的临床问题。在大多数情况下,固定方法是使用钢板和螺钉。目标是通过活动相邻关节进行术后功能治疗,从而避免长期关节固定带来的有害弊端。术前规划、手术入路、对结构精确力学原理的充分理解以及对各种组织生物学反应的了解是成功接骨术的先决条件。植入物的选择及其多功能性的应用,以及它们对个体病例的适应性是取得良好效果的关键。