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Fixation (surgical)
Fixation in orthopedics is the process by which an injury is rendered immobile. This may be accomplished by internal fixation, using intramedullary rod, Kirschner wire or dynamic compression plate; or by external fixation, using a spanning external fixator, Taylor Spatial Frame or Ilizarov apparatus In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone .... References Orthopedic surgical procedures {{Orthopedics-stub ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Orthopedics
Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. Etymology Nicholas Andry coined the word in French as ', derived from the Ancient Greek words ὀρθός ''orthos'' ("correct", "straight") and παιδίον ''paidion'' ("child"), and published ''Orthopedie'' (translated as ''Orthopædia: Or the Art of Correcting and Preventing Deformities in Children'') in 1741. The word was assimilated into English as ''orthopædics''; the ligature ''æ'' was common in that era for ''ae'' in Greek- and Latin-based words. As the name implies, the discipline was initially developed with attention to children, but the correction of spinal and bone deformities in all stages of life eventu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Internal Fixation
Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of repairing a bone, a concept that dates to the mid-nineteenth century and was made applicable for routine treatment in the mid-twentieth century. An internal fixator may be made of stainless steel, titanium alloy, or cobalt-chrome alloy. or plastics. Types of internal fixators include: * Plate and screws * Kirschner wires * Intramedullary nails Open reduction Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. ''Open reduction'' refers to open surgery to set bones, as is necessary for some fractures. ''Internal fixation'' refers to fixation of screws and/or plates, intramedullary rods and other devices to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infectio ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intramedullary Rod
An intramedullary rod, also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a metal rod forced into the medullary cavity of a bone. IM nails have long been used to treat fractures of long bones of the body. Gerhard Küntscher is credited with the first use of this device in 1939, during World War II, for soldiers with fractures of the femur. Prior to that, treatment of such fractures was limited to traction or plaster, both of which required long periods of inactivity. IM nails resulted in earlier return to activity for the soldiers, sometimes even within a span of a few weeks, since they share the load with the bone, rather than entirely supporting the bone. The oldest intramedullary nail was found in the left knee of a mummy named Usermontu, the remains of an Egyptian man from more than 3,500 years ago. Researchers believe the pin was inserted after the man's death, but before his burial. Desi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Kirschner Wire
Kirschner wires or K-wires or pins are sterilized, sharpened, smooth stainless steel pins. Introduced in 1909 by Martin Kirschner, the wires are now widely used in orthopedics and other types of medical and veterinary surgery. They come in different sizes and are used to hold bone fragments together (pin fixation) or to provide an anchor for skeletal traction. The pins are often driven into the bone through the skin (percutaneous pin fixation) using a power or hand drill. They also form part of the Ilizarov apparatus. Variations * Threaded K-wires are available. Used in situations where backing out of the pin is undesirable, they are inherently weaker than smooth K-wires. * "Denham Pins" are strong, stout wires with a threaded portion at the midpoint. They are used for skeletal traction, with the threads engaging the bone. This pin was invented in 1956 by the English orthopedic surgeon Robert Arthur Denham (born 1922). Indications * K-wires are used for temporary fixation du ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Dynamic Compression Plate
A dynamic compression plate (DCP) is a metallic plate used in orthopedics for internal fixation of bone, typically after fractures. As the name implies, it is designed to exert dynamic pressure between the bone fragments to be transfixed. Dynamic compression is achieved either by attaching a tension device to a plate or by using a special dynamic compression plate. However, compression plating requires a longer surgical incision to allow insertion of the tension device and the possibility of refracture after the plate is removed. A neutralization plate is used to bridge a comminuted fracture; it also transmits bending or torsional forces from the proximal to the distal fragment. Plates used for buttressing prevent collapse by supporting an area of thin cortex or cancellous bone graft. When plates are used, atrophy of the bone beneath the plate may predispose the bone to fracture. After removal of plates, fractures may occur through the screw holes. Sliding screw plate The slidin ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
External Fixation
External fixation is a surgical treatment wherein rods are screwed into bone and exit the body to be attached to a stabilizing structure on the outside of the body. It is an alternative to internal fixation, where the components used to provide stability are positioned entirely within the patient's body. It is used to stabilize bone and soft tissues at a distance from the operative or injury focus. They provide unobstructed access to the relevant skeletal and soft tissue structures for their initial assessment and also for secondary interventions needed to restore bony continuity and a functional soft tissue cover. Indications # Stabilization of severe open fractures # Stabilization of infected nonunions # Correction of extremity malalignments and length discrepancies # Initial stabilization of soft tissue and bony disruption in poly trauma patients (damage control orthopaedics) # Closed fracture with associated severe soft tissue injuries # Severely comminuted diaphyseal and p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Spanning External Fixator
Spanning may refer to: * Disc spanning, a feature of CD and DVD burning software * File spanning {{Redir, Binary spanning, the mathematical optimization method, Binary splitting File spanning is the ability to package a single file or data stream into separate files of a specified size. This task implies the ability to re-combine the package ..., the ability to package a single file or data stream into separate files of a specified size * Linear spanning, a concept in abstract algebra See also * Span (other) * Spanner (other) {{disambig ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Taylor Spatial Frame
The Taylor Spatial Frame (TSF) is an external fixator used by paediatric and orthopaedic surgeons to treat complex fractures and bone deformities. The medical device shares a number of components and features of the Ilizarov apparatus. The Taylor Spatial Frame is a hexapod device based on a Stewart platform, and was invented by orthopaedic surgeon Charles Taylor. The device consists of two or more aluminum or carbon fibre rings connected by six struts. Each strut can be independently lengthened or shortened to achieve the desired result, e.g. compression at the fracture site, lengthening, etc. Connected to a bone by tensioned wires or half pins, the attached bone can be manipulated in three dimensions and 9 degrees of freedom. Angular, translational, rotational, and length deformities can all be corrected simultaneously with the TSF. The TSF is used in both adults and children. It is used for the treatment of acute fractures, mal-unions, non-unions and congenital deformities. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ilizarov Apparatus
In medicine, the Ilizarov apparatus is a type of external fixation apparatus used in orthopedic surgery to lengthen or to reshape the damaged bones of an arm or a leg; used as a limb-sparing technique for treating complex fractures and open bone fractures; and used to treat an infected non-union of bones, which cannot be surgically resolved. The Ilizarov apparatus corrects angular deformity in a leg, corrects differences in the lengths of the legs of the patient, and resolves osteopathic non-unions; further developments of the Ilizarov apparatus progressed to the development of the Taylor Spatial Frame. The Ilizarov apparatus was developed by Dr. Gavriil Abramovich Ilizarov, a Soviet surgeon, who, in the 1950s, used external fixation apparatuses to treat the osteopathic non-unions of patients with broken limbs. In the course of treatment, Ilizarov observed the formation of a callus, and so discovered the phenomenon of distraction osteogenesis when one patient lengthened, rath ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
