[Are the terms "biology" and "osteosynthesis" contradictory?].
Biology and Osteosynthesis may, at first glance, appear to be contradictory. The disadvantages of the surgical procedure are offset by improved recovery of blood supply across a fracture zone and by stimulation of callus formation due to (controlled and slight) instability (elastically flexible fixation). Biological internal fixation is a principle in its own right; its technique is to some extent incompatible with conventional compression fixation. Locked screws provide better anchorage of the implant in both biological and compression internal fixation techniques. This generally offers improved potential in the treating fractures in osteoporotic bone. Because locked screws offer improved anchorage, the use of unicortical screws is made possible with the effect that the medullary circulation is damaged less. Locked unicortical screws, especially if they are self-drilling and self-cutting, offer important surgical advantages in minimally invasive percutaneous osteosynthesis (MIPO) whereas bicortical screws are required for epi- and metaphyseal anchorage.
Perren
S M
SM
AO Forschungsinstitut und Spital Davos, Davos. stephan.perren@ao-asif.ch
Perren
Th
T
Schneider
E
E
D000293:Adolescent; D000328:Adult; D000818:Animals; D001695:Biology; D001860:Bone Plates; D001863:Bone Screws; D002146:Bony Callus; D004285:Dogs; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing; D006801:Humans; D016268:Internal Fixators; D008297:Male; D010024:Osteoporosis / Q000150:complications; D009626:Terminology as Topic