Efficacy of minimally invasive techniques for enhancement of fracture healing: evidence today

Ippokratis Pountos; Theodora Georgouli; George Kontakis; Peter Giannoudis
January 2010
International Orthopaedics;Jan2010, Vol. 34 Issue 1, p3
Academic Journal
Abstract  The successful treatment of nonunions represents a major challenge for orthopaedic surgeons. Lately, ongoing advances made in the field of molecular medicine and molecular biology have increased our understanding of the pathways and involvement of mediators surrounding the bone healing process. As a result, the surgeon’s armamentarium has been increased in terms of options for intervention. This article aims to provide an overview of minimally invasive techniques applicable in the treatment of nonunions of fractures.


Related Articles

  • Arthroscopic physeal sparing all inside repair of the tibial avulsion fracture in the anterior cruciate ligament: technical note. Jin Hwan Ahn; Yong Seuk Lee; Dong Hoon Lee; Hae Chan Ha // Archives of Orthopaedic & Trauma Surgery;Nov2008, Vol. 128 Issue 11, p1309 

    We describe a new and effective arthroscopic physeal sparing repair of the tibial eminence avulsion fracture using all an inside repair technique. The treatment of ACL avulsion is controversial, especially in skeletally immature patients, with concerns about physeal damage, and a more reliable...

  • Double plating for the treatment of distal tibia and fibula fractures: case series of twenty five patients. H. MA; C. WANG; Q. WEI; Z. H. LI; B. Q. YU // European Review for Medical & Pharmacological Sciences;Aug2013, Vol. 17 Issue 16, p2250 

    BACKGROUND: The treatment of fractures of the distal third of the tibia and fibula usually involves two incisions, thus raising the risk of wound dehiscence, wound necrosis, infection, and the delayed union or non-union of distal tibial fractures. To decrease and prevent aforementioned serious...

  • Wrist arthroscopy and intra-articular fractures of the distal radius in young adults. Hardy, Philippe; Gomes, Nuno; Chebil, Mounir; Bauer, Thomas // Knee Surgery, Sports Traumatology, Arthroscopy;Nov2006, Vol. 14 Issue 11, p1225 

    Unlabelled: The difficulty on treatment of articular fractures of the distal radius comes from their comminutive character and frequency of ligamentous lesions associated, turning diagnosis and assessment always subject to discussion. Fracture reduction and fixation under...

  • Anatomical refixation for acute ruptures of the distal biceps tendon using a novel transcortical refixation system. Niemeyer, Philipp; Köstler, Wolfgang; Bley, Thorsten; Göbel, Heike; Brook, Christopher J.; Südkamp, Norbert P.; Strohm, Peter C. // Archives of Orthopaedic & Trauma Surgery;Jun2008, Vol. 128 Issue 6, p573 

    In this study, minimally invasive CurvTek refixation is introduced as a novel approach for repair of distal biceps tendon ruptures. Exploration at the radial tuberosity is minimized using CurvTek, thereby reducing operative trauma. Treatment outcomes were compared for this technique against the...

  • Minimally Invasive Plate Osteosynthesis in Distal Tibial Fractures: Pitfalls and Surgical Guidelines. Ghera, Stefano; Santori, Francesco Saverio; Calderaro, Michele; Giorgini, Tara L. // Orthopedics;Sep2004, Vol. 27 Issue 9, p903 

    Presents a minimally invasive plate osteosynthesis as a surgical treatment for distal and tibial pilon fractures. Principles of reduction used when addressing pilon fractures; Description of the surgical technique; Requirements for conducting a minimally invasive plate osteosynthesis.

  • Intramedullary Pinning for the Management of Femoral Fracture in a Rhesus Monkey. Singh, Jasmeet; Aithal, H. P.; Monsang, S. W. // Intas Polivet;jul-dec2012, Vol. 13 Issue 2, p429 

    The present report describes a case of femoral fracture and its successful surgical management using intramedullary pin fixation in a Rhesus Monkey.

  • Endoscopic bone grafting for management of nonunion of the tuberosity avulsion fracture of the fifth metatarsal. Tun Hing Lui // Archives of Orthopaedic & Trauma Surgery;Nov2008, Vol. 128 Issue 11, p1305 

    The most common fracture of the proximal fifth metatarsal is the tuberosity avulsion fracture. Most of the time, the fracture is relatively undisplaced and it can be treated conservatively with a hard-soled shoe or walking cast. For painful intra-articular nonunion, internal fixation with or...

  • A Comparison of Orthopaedic Resident Performance on Surgical Fixation of an Ulnar Fracture Using Virtual Reality and Synthetic Models. LeBlanc, Justin; Hutchison, Carol; Yaoping Hu; Donnon, Tyrone // Journal of Bone & Joint Surgery, American Volume;5/1/2013, Vol. 95-A Issue 9, p862 

    Background: Surgical trainees develop surgical skills using various techniques, with simulators providing a safe learning environment. Fracture fixation is the most common procedure in orthopaedic surgery, and residents may benefit from simulated fracture fixation. The performance of residents...

  • Fracture Repair with Ultrasound: Clinical and Cell-Based Evaluation. Khan, Yusuf; Laurencin, Cato T. // Journal of Bone & Joint Surgery, American Volume;Feb2008 Supplement 1, Vol. 90-A, p138 

    Fracture repair continues to be widely investigated, both within the clinical realm and at the fundamental research level, in part due to the fact that 5% to 10% of fractures result in either delayed union or nonunion, depending on the duration of incomplete healing. Beyond the temporal delay in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics