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Reduction and Fixation Techniques



Reduction and Fixation Techniques

Diaphyseal fractures can be minimized directly or indirectly; the standards are explained apart from the process. Any cut maneuver should be smooth as possible as to the soft parts and periosteum around the fracture to preserve the entire blood supply.

In the cure therapy of diaphyseal fractures, the fixing processes used mainly are an intramedullary nail, plating, and external fixation. Intramedullary nails are internal cracks which are load sharing and permit early weight-bearing. Because they allow a degree of displacement at the fracture site. Their use is associated with callus formation and early bone joining.  Locked intramedullary nails allow multilayer –mentary fractures to be held out to length.

Plates and screws are the best alternatives for bone fractures extending to the metaphyseal area or into a joint. Plates and screws are inserted directly or indirectly cut techniques. In easy cracks, they can be minimized anatomically. The classical interfragmentary lag screw, combined with a neutralization plate, is still an excellent way of fixation. Plating of composite, multi fragmentary diaphyseal fractures should be done by a minimally insidious process, with indirect cut and the plate acting as a bridge, passing over the fracture intensity untouched.

An external joint is still the gold standard in case of major soft-tissue problems and in those parts of the world where nails and plates are more tough and risky to apply for logistical and technical reasons, for example, image intensification. However crack healing may be prolonged and pin track problems (infection, loosening) are common. External joint or are therefore not a popular choice for definitive joining and a change of approach is often considered once the fast problems have been expertise.

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Postoperative care

Urgent postoperative planning

Standards related to findings, drains, dressings, etc. The below-mentioned points diaphyseal fractures to be observed. The displacement of a patient is mainly dependent upon the severity of his injuries and not only on the cracks.

The most valuable factor in deciding about the displacement/movement and functional loading is the surgeon’s assessment of the steadiness of the joint. The fracture anatomy and the joining process must be considered together.

If any issue, actions are to be prolonged and monitored with care.

Physiotherapy focused on muscle reinstatement must start at the earliest post-surgery and continue till normal working of the limb is obtained. Rapid active movements of the muscles and joints are good but can be agonizing. Regular passive movements should be accompanied by active muscle workouts.

The most established equation for weight-bearing is a perfectly declined transverse fracture of the mid of a lower limb bone joined anatomically with a tight-filling dynamically locked intramedullary nail.

The fragile combination would be a multilayered fracture, increasing almost from metaphysic, treated by an external jointer.

Whenever feasible, a fracture combination should allow some load transfer through the fracture site on displacement. Load transfer is a good stimulus for bone growth, and prolonged light-bearing is associated with profound disuse osteopenia, atrophy of muscular cartilage, and muscle wasting. Actual preoperative planning is the key to prevent joining that are not strong enough to permit partial weight-bearing.SioraSurgicals is one of the leading manufacturers of orthopedic implants from India.  We have a different range of product like Locking Plates, Nonlocking plates, DHS/ DCS, Cannulated Screws, Angled Blade Plates, Microlock Locking Hand System, Hip Prosthesis, Radial Head Prosthesis, Spine, TFN / PFN Nailing System, Tibia &Fermur Interlocking System, Titanium Elastic Nailing System, Adroit Multifix Tibia Nailing System, Adroit AFN Nailing System, Humerus Interlocking Nailing System, Supra Condaylar Nailing system, PFNA- II Proximal Femoral Nail Anti-rotation, External Fixator System, etc.

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