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- W4206135093 abstract "In the late 1980s and 90s the term “biologic osteosynthesis” had a major influence on the operative treatment of fractures. Procedures such as locked intramedullary nailing and distraction osteogenesis fall under this heading as do biocompatible materials. The long-established practice of open reduction and internal fixation by plate osteosynthesis with exact anatomic repositioning of fractures was largely deserted in favor of so-called biologic osteosynthetic procedures. These involve the minimally invasive implantation of specially designed fixation tools (such as locked intramedullary nails and anatomic shaped plates) using closed operating techniques without further compromising the fracture area. Early functional follow up treatment is then possible, in many cases even with full load-bearing by the injured extremity. Using these fixation techniques it was possible to achieve healing of the fracture considerably more effectively and often more quickly than with the usual techniques. This applies particularly to fractures with large areas of damage. On the basis of these discoveries, dramatic innovations have been made in recent years in implantation techniques and in the implants themselves. This article gives the reader an update describing the value of this progress for everyday practice. It is intended to serve as an aid for the treatment of potential “problem fractures.” The innovations mentioned here have made a major contribution to the improvement of operative fracture treatment and are therefore receiving increasing attention." @default.
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- W4206135093 date "2007-12-01" @default.
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- W4206135093 title "Locked Plating: Biomechanics and Biology and Locked Plating—Clinical Indications" @default.
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- W4206135093 doi "https://doi.org/10.1097/bto.0b013e318157822d" @default.
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