Minimally Invasive Techniques in Orthopedic Trauma

Abstract

Purpose of Review This review focuses on the evolution of minimally invasive techniques in orthopedic surgery and provides an overview of the evidence-based knowledge of the last decade. Recent Findings Implants and surgical techniques for minimally invasive osteosynthesis in periarticular, spinal and pelvic fractures underwent rapid improvement. They show adequate healing along with low complication rates and satisfactory outcome. Computer-assisted insertion of implants and navigation offer new possibilities and are particularly advantageous in difficult anatomical regions, such as the pelvis or spine. Summary The treatment purpose in minimally invasive orthopedic surgery consists of anatomic reconstruction and stabilization of the articular surface, length, axis and rotation with minimal soft-tissue trauma. This review article highlights the surgical evolution and discusses recent advances in techniques and technology implementing minimally invasive approaches as the gold standard of treatment in the near future.

Rural-urban differences in children’s musculosceletal injuries in North-eastern Poland

“…opiekunów, zamieszkujących obszary miejskie (20). Obecnie dzieci szybciej dojrzewają, nie znaleziono jednak dowodów na to, że biologiczna dojrzałość dzieci wpływa na częstość doznawanych przez nie urazów (21,22).…”

“…One of the hypotheses may be a change in the lifestyle of both children and their caretakers living in urban areas (20). Currently, children mature faster, but no evidence has been found that the biological maturity of children affects the frequency of injuries (21,22).…”

Osteossíntese minimamente invasiva de fraturas transtrocantéricas com Dynamic Hip Screw (DHS)

“…In addition, they allow early rehabilitation, with a consequent decrease in the risk of postoperative complications. 5 The patient operated by the technique described evolves with less pain in the immediate postoperative period, with orthotastism and gait at full load being stimulated 12 hours after the procedure. It is a technique with easy execution and high reproducibility that can contribute to help in the epidemic of fractures of the proximal femur expected in the coming decades, due to the aging of the population.…”

“…In addition, they allow early rehabilitation, with a consequent decrease in the risk of postoperative complications. 5 …”

“…4 A great surgical trauma is harmful to the target population of these fractures, since large incisions and great tissue damage are the cause of infections, delayed consolidation and long periods of immobility. 4,5 It should also be considered that in the elderly population there is a high prevalence of comorbidities and significant functional deficit, 1 and that a less traumatic technique is required for osteosynthesis of these fractures. The method presented here is a minimally invasive technique for implanting of the Dynamic Hip Screw (DHS) in transtrochanteric osteosynthesis.…”