skinneosteosyntese generelle principper - ortopaedi.dk · skinne-terminologi form/design: - dcp -...
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Skinneosteosyntese
Generelle principper
Frank Damborg
Kolding
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• Kompressionsskinner
• Låseskinner
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• ORIF (Open reduction internal fixation)
– Nødvendig ved kompressionsskinner
– Kan (selvfølgeligt) også anvendes ved
”låseskinner”
• MIS (Minimal invasive surgery)
– Er en ”mulighed” pga låseskinnerne
– ”intern extern fixator”
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Dynamic
Compression
Plate
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Limited
Contact
Dynamic
Compression
Plate
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Locked
Compression
Plate
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Locked
Compression
Plate
Combi hole
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Grundlæggende:
• Absolut stabil osteosyntese >
• Direkte heling / Uden callus.
• Det ene osteosynteprincip og deraf følgende helingsform er ikke den anden ”overlegen”!
• Men man skal vide hvornår man tilstræber hvad!
• Relativt stabil osteosyntese >
• Indirekte heling / Med callus.
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Grundlæggende:
• Absolut stabil osteosyntese >
• Direkte heling / Uden callus.
• Det ene osteosynteprincip og deraf følgende helingsform er ikke den anden ”overlegen”!
• Men man skal vide hvornår man tilstræber hvad!
• Relativt stabil osteosyntese >
• Indirekte heling / Med callus.
• Man Kan opnå begge dele med skinner!!!
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”Låseskinner”
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Låseskinner
• Gør MIS til en mulighed!
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MIS
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MIS
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MIS (Fx prox tibia)
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MIS (Fx prox tibia)
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MIS (Fx prox tibia)
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MIS
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• De specifikke anatomiske skinner vil bliver
omtalt de følgende dage.
• Under de specifikke regioner!
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Slut
• Mere om osteosynteseprincipper: