Abstract:
Periarticular fractures are complex injuries affecting the joint articular surface, the subchondral area, the metaphyseal region, the surrounding soft tissue envelope and not infrequently the ligamentous structures. The management of these injuries has evolved over the years, from one stage to two stage procedures thus facilitating soft tissue resuscitation, adequate pre-operative planning and the use of biologics optimizing the conditions for definitive fixation for a successful long-term outcome. Provisional fixation constitutes an essential step in the surgical treatment of these fractures. Herein, the role of provisional fixation as well as strategies on how they should be applied are discussed. The aim is to revisit this important step of provisional fracture fixation since its introduction by Albin Lambotte, in the early 1900\'s.
摘要:
关节周围骨折是影响关节关节表面的复杂损伤,软骨下区域,干phy端区域,周围的软组织包膜,很少有韧带结构。这些伤害的管理已经发展了多年,从一个阶段到两个阶段的程序,从而促进软组织复苏,充分的术前计划和生物制剂的使用优化了最终固定的条件,以获得成功的长期结果。临时固定是这些骨折的手术治疗中必不可少的步骤。在这里,讨论了临时固定的作用以及如何应用它们的策略。目的是重新审视自AlbinLambotte引入临时骨折固定以来的这一重要步骤,在1900年代初。