Minimally invasive surgical techniques for the treatment of the shaft fractures of the long bones

Uzun kemik cisim kiriklarinda, indirekt reduksiyon tekniklerinin kullanilmasi ve kanlanmayi bozmamak amaciyla kirik hatti acilmadan tespit uygulanmasi, goreceli denge elde edilerek kallus olusumu ile iyilesmeyi saglar. Intrameduller civiler, perkutan plaklar, minimal invaziv osteosentez icin kullanilan plaklar (MIPO) ve eksternal fiksatorler bu tip kirik tedavisinde kullanilan minimal invaziv cerrahi icin uygun implantlardir. Femur, humerus, tibia gibi uzun kemik cisim kiriklarinda, ilk tercih genellikle intrameduller civiler olsa da; cok parcali veya segmental kiriklar, proksimal veya distal safta uzanimi olan kiriklar, civilemeye uygun olmayan dar veya deforme meduller kanal varliginda ve diger bazi ozel durumlarda MIPO kullanilabilmektedir. Minimal invaziv plak osteosentez tekniginin gelismesiyle birlikte periostal dolasimin korunmasi, kilitli vidalarla acisal stabilitenin artirilmasi ve vida etrafinda gevseme olmamasi saglanabilmistir. Ancak MIPO tekniginin uygulanisinda bazi puf noktalari goz onunde bulundurulmalidir.

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