[New aspects for minimally invasive interventions in orthopedic trauma surgery].
The minimally invasive method has gained complete acceptance for the treatment of diaphyseal fractures. In the majority of cases, this procedure is combined with stabilization of the fracture with insertion of an intramedullary implant. In cases of metaphyseal fracture, use of minimally invasive techniques depends on the extent of simultaneous involvement of the articular surface. For joint fractures, the main goal is anatomic reconstruction. At the same time as these less invasive surgical procedures and markedly improved methods of visualization have evolved, the implants themselves have also advanced. The standard implant of the future for plate osteosynthesis will be the interlocking plate. Minimally invasive surgical techniques will certainly continue to gather ground in the future for the entire field of accident surgery. Reduction of the surgical approach means less postoperative pain for the patient, earlier mobilization, and shortening of hospital stay and the whole process of rehabilitation.
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätskliniken des Saarlandes, Homburg/Saar. chasee@uniklinik-saarland.de
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Seekamp
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Lehmann
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Pizanis
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Pohlemann
D003952:Diagnostic Imaging; D005593:Fracture Fixation, Internal; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D019060:Minimally Invasive Surgical Procedures; D010149:Postoperative Pain / Q000517:prevention & control; D025321:Surgery, Computer-Assisted