Rakuljić I, Korin N, Nejman Z, Tomjanović Z, Rukavina A
Acta Chir Iugosl. 1977;24(1 Suppl):543-7.
Internal fixations have become a frequent approach in surgery due to the profound studies dealing with biomechanical details of fractures and quality of metal devices. In the beginning, it seemed practically possible to manage easily, almost all the fractures by using various internal fixation devices excluding, naturally, those which have retained or shall retain probably some indications of further cure by closed methods. Moreover, certain doubts remain still open, particularly for the reason whether all internal fixations have been sufficiently rigid and if so, shall it be indispensable to count on the introduction of additional materials in order to strenghten these fractures. The outcome of the daily practice 1rd traumatho to approach the use of the bone cement, initially to help the fixation of new joints. Later the use of the bone cement was applied for the shaft and pathological fractures in combination with autogenous cancellous bone. Thus, the new notion was borne in traumathology which in the form of combined internal fixation has become a familiar term throughout the professional literature. Cases of the experience gained and this particular approache in surgery will be a subject of the report.
由于对骨折生物力学细节和金属器械质量进行了深入研究，内固定已成为外科手术中常用的方法。起初，似乎实际上可以轻松地使用各种内固定器械处理几乎所有骨折，当然不包括那些保留或可能仍保留一些闭合治疗指征的骨折。此外，某些疑问仍然存在，特别是因为是否所有内固定都足够坚固，如果是这样，是否必须依靠引入额外材料来加强这些骨折。日常实践中，创伤外科医生开始使用骨水泥，最初是为了帮助固定新关节。后来，骨水泥被用于骨干和病理性骨折，并与自体松质骨联合使用。因此，创伤学中产生了新的概念，即以联合内固定形式出现的概念在专业文献中已成为一个常见术语。所获得的经验案例以及这种特殊的手术方法将是本报告的主题。
