الفهرس | Only 14 pages are availabe for public view |
Abstract The minimal invasive osteosynthesis includes all forms of fracture fixation that use small soft tissue window which allow insertion of implant or instrument, cause minimal additional trauma to the soft tissue and fracture fragments, using indirect reduction that apply the concept of relative stability. The minimal invasive osteosynthesis technique has been shown to have multiple biological advantages, as operative exposure and soft tissue stripping are minimized, Vascular pedicles are preserved throughout realignment, as fixation is at a distance to the fracture site, leaving the fracture haematoma around the injury undisturbed. Subsequent researchers have shown that the surrounding soft tissues and haematoma have an extremely important biological role, producing growth factors and other stimulators of osteoprogenitor cells that induce fracture healing and callus formation. The minimal invasive osteosynthesis technique embodies all the biomechanical advantages of bridge plate fixation, the absolute rigidity that initially was the aim of plate osteosynthesis is now replaced by more elastic fixation allowing micro-motion at the fracture level, resulting in indirect bone healing with abundant callus formation. |