Minimally Invasive Reduction and Fixation in Orthopedic Trauma

• Published in: Chinese medical journal Vol. 129; no. 21; pp. 2521 - 2523
• Main Author: Zhang, Ying-Ze
• Format: Journal Article
• Language: English
• Published: China Wolters Kluwer India Pvt. Ltd 05.11.2016; Medknow Publications and Media Pvt. Ltd; Lippincott Williams & Wilkins Ovid Technologies; Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei 050051, China; Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang, Hebei 050051, China; Medknow Publications & Media Pvt Ltd; Wolters Kluwer
• Subjects: Care and treatment; Epidemiology; Fracture Fixation, Internal; Fracture; Minimally Invasive Reduction; Orthopedics; Trauma; Fractures; Fractures, Bone - surgery; Humans; Injuries; Internal fixation; Minimally Invasive Surgical Procedures - methods; Orthopedic Procedures - methods; Transplants & implants; Trauma; China; Fracture; Trauma; Orthopedics; Minimally Invasive Reduction
• ISSN: 0366-6999; 2542-5641
• DOI: 10.4103/0366-6999.192773

According to the nation-wide data on the clinical epidemiology of orthopedic trauma during 2010-2011, fractures occurring in young and mid-aged patients reached 72%, representing the predominant injuries, and the corresponding percentage of fractures in elderly people was 14.7%. The techniques of less invasive stabilization system for long bone fractures, the internal compression fixation technique via a minimally invasive incision for displaced intra-articular calcaneal fractures,[5],[6] and other percutaneous reduction and fixation techniques,[7],[8] all embody the advantages and successful application in the treatment of traumatic fractures following BO concept. During the procedure of minimally invasive treatment of fractures, the key success factor is minimal or closed reduction, namely ensuring the satisfactory reduction of the fracture before skin incision and fixation. [...]in case of young adult patients with significantly displaced or old fracture, a larger force and prolonged traction are required to reduce the fracture, leading to stretch injury of the foot, pudendal nerve trauma, perineal ulcers, peroneal nerve palsy, and even compartment syndrome. [...]traction table could be only indicatively applied in the proximal and shaft fractures of the femur, but not for open fractures, tibial fractures, ankle and foot fractures, or fractures of the amputated limbs. [...]application of this instrument occupies a large space, influencing the optimal surgical incision, visualization of anatomic structures around fracture sites, and the placement of osteosynthesis plates or intramedullary nail (IMN) due to Schanz screws placed passing through the medullary canal. The rapid reductor shows obvious advantages in clinical practice, which could provide consistent mechanical axis with...