CHAPTER
5
-
FRACTURES
REDUCTION
UNI
PLANAR
FIXATORS
-•
Unilateral
frames
that
Fracture
reduction
is
the
procedure
to
set
a
broken
empty
one
bare
and
half
bone
to
allow
broken
parts
to
grow
back
together
.
pins
.
HYBRID
FIXATORS
we
use
of
two
different
fixative
tapes
.
Bone
fracture
healing
method
,
quality
,
geometry
and
time
depends
on
fracture
stabilization
.
Stress
-
shielding
phenomenon
should
be
avoided
!
÷
NON-INVASIVE
FIXATORS
Non-invasive
fixates
one
used
to
treat
simple
fractures
.
They
have
no
dieeot
contact
with
the
skeletal
#
system
leading
to
a
reduced
mechanical
control
of
the
fracture
.
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::÷:::÷÷÷::::÷÷÷
:
÷
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Easy
to
use
SCREWS
-0
Used
alone
to
hold
a
fracture
oe
together
Less
swelling
with
other
devices
.
Lighter
→
Expensive
-
CORTICAL
-
CANCEL
LOUS
-
CANNULA
TED
:
can
be
inserted
ovene
a
guide
wire
or
guide
pin
.
-
/
-
BIORESORBABLE
i
made
of
PLA
G
HA
.
EXTERNAL
INVASIVE
FIXATORS
PLA
dissolves
harmlessly
in
External
invasive
fixations
are
tempoeaey
supports
the
body
and
HA
promotes
placed
outside
of
the
skin
that
stabilize
and
osteo
integration
.
align
bones
.
PLATES
now
internal
splints
that
hold
the
broken
pieces
-
•
Applied
with
minimal
soft
tissues
injury
together
.
Inherently
flexible
They
are
attached
to
the
bones
by
screws
.
Wide
applicability
Minimal
damage
to
blood
supply
-
COMPRESSION
:
the
plate
produces
a
tension
Fixation
far
from
the
site
of
inyuey
force
across
the
fracture
site
,
Good
option
if
there
is
infection
risk
as
a
reaction
,
compression
→
Restricted
joint
motion
is
produced
at
fracture
site
.
Uncomfortable
•
static
→
the
compression
force
is
exerted
constantly
even
if
the
limb
is
at
They
are
connected
to
the
bones
via
fine
wi
ees
and
rest
.
pins
.
•
Dynamic
→
the
transfer
of
compression
force
depends
on
the
movements
Indicated
foe
:
of
the
patient
.
•
open
fractures
→
Low
incidence
of
malunion
•
closed
fractures
with
soft
tissue
compromise
stable
internal
fixation
•
peri
articular
fractures
No
external
immobilization
•
Poly
trauma
→
Delayed
union
•
pelvic
fractures
Persistence
of
microscopic
fracture
gaps
that
act
as
stress
•
children
's
fractures
.
risers
.
I
::::::÷÷÷÷:÷::÷:÷
:÷÷÷÷::÷
:\
.
::::÷:÷::÷÷÷÷÷÷:÷÷÷
:÷÷
:/
materials
.
from
the
proximal
to
The
fracture
can
be
distracted
oe
the
distal
bone
segment
compressed
7
bypassing
the
fracture
site
.
to
cook
at
boneless
,
deformities
.
No
compression
is
produced
.
BI
-
PLANAR
FIXATORS
to
bilateral
frames
that
employ
-
SUPPORTING
:
to
support
the
bone
structure
a
rigid
base
on
both
sides
of
the
limb
connected
by
full
pins
that
transfix
the
-
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