Toogood Paul, Huang Adrian, Siebuhr Karl, Miclau Theodore
University of California, San Francisco (UCSF), Department of Orthopaedic Surgery, Orthopaedic Trauma Institute, Mark Zuckerberg and Priscilla Chan San Francisco General Hospital and Trauma Center, San Francisco, California, USA.
University of California, San Francisco (UCSF), Department of Orthopaedic Surgery, Orthopaedic Trauma Institute, Mark Zuckerberg and Priscilla Chan San Francisco General Hospital and Trauma Center, San Francisco, California, USA.
Injury. 2018 Jun;49 Suppl 1:S19-S23. doi: 10.1016/S0020-1383(18)30297-3.
Osteosynthesis has evolved theoretically and practically throughout its evolution. Similar to trends in other surgical fields, surgical techniques in fracture fixation, such as minimally invasive plate osteosynthesis (MIPO), have moved from large dissections to more tissue sparing methods. These plating techniques have been developed for a variety of bones, but more universal clinical adoption will rely upon improved clinical outcomes. The current review will describe minimally invasive techniques, evaluate their rationale, and summarize evidence for their efficacy.
骨合成在其发展过程中经历了理论和实践上的演变。与其他外科领域的趋势类似,骨折固定的手术技术,如微创钢板接骨术(MIPO),已从广泛的解剖手术转向更具组织保护作用的方法。这些接骨技术已应用于多种骨骼,但更广泛的临床应用将依赖于更好的临床效果。本综述将描述微创技术,评估其原理,并总结其疗效的证据。