Skip to main content
SpringerLink
Log in

Osteosynthesen

  • Chapter
Book cover Orthopädie und Unfallchirurgie

  • 12k Accesses

Zusammenfassung

Bereits in der Antike sind Schienungstechniken zur Frakturbehandlung beschrieben worden (Hippokrates, Celsus, El Zahawari, Gooch). Meist resultierte daraus eine Verkürzung der betroffenen Extremität. Die kontinuierliche Traktion kam erstmals im 19. Jahrhundert zur Anwendung. Offene Frakturen waren bis vor 150 Jahren lebensgefährlich und bedeuteten in der Regel die Amputation. Noch gegen Ende des 19. Jahrhunderts verstarben 46 von 93 Patienten, die Billroth in Zürich behandelte, an den Folgen komplizierter Frakturen (Billroth 1881).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 239.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 259.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Bick EM (1968) The intramedullary Nailing of Fractures by G. Kuntscher. Translation of article in Archiv für Klinische Chirurgie, 200:443, 1940. Clin Orthop Relat Res 60: 5–12

    PubMed  CAS  Google Scholar 

  • Billroth W (1881) Clinical surgery. The New Sydenham Society, London

    Google Scholar 

  • Blatter G, Weber BG (1990) Wave plate osteosynthesis as a salvage procedure. Arch Orthop Trauma Surg 109: 330–333

    Article  PubMed  CAS  Google Scholar 

  • Bone LB, Johnson KD, Weigelt J, Scheinberg R (1989) Early versus delayed stabilization of femoral fractures. A prospective randomized study. J Bone Joint Surg Am 71: 336–340

    PubMed  CAS  Google Scholar 

  • Borgeaud M, Cordey J, Leyvraz PE, Perren SM (2000) Mechanical analysis of the bone to plate interface of the LC-DCP and of the PC-FIX on human femora. Injury 31 (Suppl. 3): C29-C36

    Article  PubMed  Google Scholar 

  • Bosse MJ, MacKenzie EJ, Riemer BL et al. (1997) Adult respiratory distress syndrome, pneumonia, and mortality following thoracic injury and a femoral fracture treated either with intramedullary nailing with reaming or with a plate. A comparative study. J Bone Joint Surg Am 79: 799–809

    PubMed  CAS  Google Scholar 

  • Burstein AH, Zika JM, Heiple KG, Klein L (1975) Contribution of collagen and mineral to the elastic-plastic properties of bone. J Bone Joint Surg Am 57: 956–961

    PubMed  CAS  Google Scholar 

  • Chao EY, Aro HT, Lewallen DG, Kelly PJ (1989) The effect of rigidity on fracture healing in external fixation. Clin Orthop Relat Res 241: 24–35

    PubMed  Google Scholar 

  • Charash WE, Fabian TC, Croce MA (1994) Delayed surgical fixation of femur fractures is a risk factor for pulmonary failure independent of thoracic trauma. J Trauma 37: 667–672

    Article  PubMed  CAS  Google Scholar 

  • Danis R (ed) (1949) Theorie et pratique de l’Ostéosynthèse. Desoer et Masson, Liège Paris

    Google Scholar 

  • Ender J (1970) Die Fixierung der trochanteren Brüche mit rundem elastischem Kondylennägeln. Acta Chir Austriaca 1: 40–42

    Article  Google Scholar 

  • Finkemeier CG, Schmidt AG, Kyle RF, Templeman DC, Varecka TF (2000) A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft. J Orthop Trauma 14: 187–193

    Article  PubMed  CAS  Google Scholar 

  • Frigg R, Appenzeller A, Christensen R, Frenk A, Gilbert S, Schavan R (2001) The development of the distal femur Less Invasive Stabilization System (LISS). Injury 32 (Suppl. 3): SC24-SC31

    PubMed  Google Scholar 

  • Gaebler C, Berger U, Schandelmaier P et al. (2001) Rates and odds ratios for complications in closed and open tibial fractures treated with unreamed, small diameter tibial nails: a multicenter analysis of 467 cases. J Orthop Trauma 15: 415–423

    Article  PubMed  CAS  Google Scholar 

  • Gautier E, Perren SM (1992) [Limited Contact Dynamic Compression Plate (LC-DCP) - biomechanical research as basis to new plate design]. Orthopädie 21: 11–23

    CAS  Google Scholar 

  • Gerber C, Mast JW, Ganz R (1990) Biological internal fixation of fractures. Arch Orthop Trauma Surg 109: 295–303

    Article  PubMed  CAS  Google Scholar 

  • Giannoudis PV, Abbott C, Stone M, Bellamy MC, Smith RM (1998) Fatal systemic inflammatory response syndrome following early bilateral femoral nailing. Intensive Care Med 24: 641–642

    Article  PubMed  CAS  Google Scholar 

  • Giannoudis PV, Schneider E (2006) Principles of fixation of osteoporotic fractures. J Bone Joint Surg Br 88: 1272–1278

    PubMed  CAS  Google Scholar 

  • Gustilo RB, Anderson JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 58: 453–458

    PubMed  CAS  Google Scholar 

  • Haas N, Krettek C, Schandelmaier P, Frigg R, Tscherne H (1993) A new solid unreamed tibial nail for shaft fractures with severe soft tissue injury. Injury 24: 49–54

    Article  PubMed  CAS  Google Scholar 

  • Hackethal KH (1963) [Total apparative closes fracture reposition and percutaneous bone marrow splitting in childhood]. Langenbecks Arch Klin Chir Ver Dtsch Z Chir 304: 621–626

    PubMed  CAS  Google Scholar 

  • Henley MB, Chapman JR, Agel J, Harvey EJ, Whorton AM, Swiontkowski MF (1998) Treatment of type II, IIIA, and IIIB open fractures of the tibial shaft: a prospective comparison of unreamed interlocking intramedullary nails and half-pin external fixators. J Orthop Trauma 12: 1–7

    Article  PubMed  CAS  Google Scholar 

  • Hey-Groves EW (1914) An experimental study of the operative treatment of fractures. Br J Surg 438: 438–501

    Google Scholar 

  • Holtom PD, Smith AM (1999) Introduction to adult posttraumatic osteomyelitis of the tibia. Clin Orthop Relat Res 360: 6–13

    Article  PubMed  Google Scholar 

  • Hupel TM, Aksenov SA, Schemitsch EH (1998) Cortical bone blood flow in loose and tight fitting locked unreamed intramedullary nailing: a canine segmental tibia fracture model. J Orthop Trauma 12: 127–135

    Article  PubMed  CAS  Google Scholar 

  • Joshi D, Ahmed A, Krishna L, Lal Y (2004) Unreamed interlocking nailing in open fractures of tibia. J Orthop Surg (Hong Kong) 12: 216–221

    CAS  Google Scholar 

  • Katsoulis E, Court-Brown C Giannoudis PV (2006) Incidence and aetiology of anterior knee pain after intramedullary nailing of the femur and tibia. J Bone Joint Surg Br 88: 576–580

    Article  PubMed  CAS  Google Scholar 

  • Keating JF, Blachut PA, O’Brien PJ, Court-Brown CM (2000) Reamed nailing of Gustilo grade-IIIB tibial fractures. J Bone Joint Surg Br 82: 1113–1116

    Article  PubMed  CAS  Google Scholar 

  • Klein MP, Rahn BA, Frigg R, Kessler S, Perren SM (1990) Reaming versus nonreaming in medullary nailing: interference with cortical circulation of the canine tibia. Arch Orthop Trauma Surg 109: 314–316

    Article  PubMed  CAS  Google Scholar 

  • Krettek C, Muller M, Miclau T (2001) Evolution of minimally invasive plate osteosynthesis (MIPO) in the femur. Injury 32 (Suppl. 3): SC14-SC23

    PubMed  Google Scholar 

  • Kuster M, Forster T, Ploeg H, Grob KR (2002) Optimal screw placement for plate osteosynthesis. J Bone Joint Surg Br 84-B (Suppl.. III): 228b

    Google Scholar 

  • Leunig M, Hertel R (1996) Thermal necrosis after tibial reaming for intramedullary nail fixation. A report of three cases. J Bone Joint Surg Br 78: 584–587

    PubMed  CAS  Google Scholar 

  • Ligier JN, Metaizeau JP, Prévot J (1983) [Closed flexible medullary nailing in pediatric traumatology]. Chir Pediatr 24: 383–385

    PubMed  CAS  Google Scholar 

  • Muller ME, Willenegger AM (1963) Technik der operativen Frakturbehandlung. Springer, Berlin Göttingen Heidelberg

    Google Scholar 

  • Paar O, mon O‘Dey D, Magin MN, Prescher A (2000) [Disruption of the arteria nutricia tibiae by reamed and unreamed intramedullary nailing. Study of the vascular architecture of the human tibial intramedullary cavity]. Z Orthop Ihre Grenzgeb 138: 79–84

    Article  PubMed  CAS  Google Scholar 

  • Palmovic V, McCarroll JR (1965) Fat embolism in trauma. Arch Pathol 80: 630–635

    PubMed  CAS  Google Scholar 

  • Pape HC, Bund M, Meier R, Piepenbrock S, von Glinski S, Tscherne H (1999) Pulmonary dysfunction following primary bilateral femoral nailing – a case report. Intensive Care Med 25: 547

    Article  PubMed  CAS  Google Scholar 

  • Pape HC, Grimme K, Van Griensven M et al. (2003) Impact of intramedullary instrumentation versus damage control for femoral fractures on immunoinflammatory parameters: prospective randomized analysis by the EPOFF Study Group. J Trauma 55: 7–13

    Article  PubMed  Google Scholar 

  • Pape HC, Hildebrand F, Pertschy S et al. (2002) Changes in the management of femoral shaft fractures in polytrauma patients: from early total care to damage control orthopedic surgery. J Trauma 53: 452–461; discussion: 461–462

    Article  PubMed  Google Scholar 

  • Peltier LF, Sevitt S (1970) Trauma workshop report: fat embolism. J Trauma 10: 1074–1077

    Article  PubMed  CAS  Google Scholar 

  • Riska EB, von Bonsdorff H, Hakkinen S, Jaroma H, Kiviluoto O, Paavilainen T (1976) Prevention of fat embolism by early internal fixation of fractures in patients with multiple injuries. Injury 8: 110–116

    Article  PubMed  CAS  Google Scholar 

  • Robinson CM (2001) Current concepts of respiratory insufficiency syndromes after fracture. J Bone Joint Surg Br 83: 781–791

    Article  PubMed  CAS  Google Scholar 

  • Ruedi T, Moran BR (2007) AO principles of fracture management. Thieme, Stuttgart New York

    Google Scholar 

  • Rush LV (1968) Dynamic intramedullary fracture-fixation of the femur. Reflections on the use of the round rod after 30 years. Clin Orthop Relat Res 60: 21–27

    Article  PubMed  CAS  Google Scholar 

  • Scalea TM, Boswell SA, Scott JD, Mitchell KA, Kramer ME, Pollak AN (2000) External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage control orthopedics. J Trauma 48: 613–621; discussion: 621–623

    Article  PubMed  CAS  Google Scholar 

  • Schemitsch EH, Kowalski MJ, Swiontkowski MF, Senft D (1994) Cortical bone blood flow in reamed and unreamed locked intramedullary nailing: a fractured tibia model in sheep. J Orthop Trauma 8: 373–382

    Article  PubMed  CAS  Google Scholar 

  • Society BTCOT (2006) Reamed versus unreamed intramedullary nailing of the femur: comparison of the rate of ARDS in multiple injured patients. J Orthop Trauma 20: 384–387

    Article  Google Scholar 

  • Stoffel K, Dieter U, Stachowiak G, Gächter A, Kuster MS (2003) Biomechanical testing of the LCP – how can stability in locked internal fixators be controlled? Injury 34 (Suppl. 2): B11-B19

    Article  PubMed  Google Scholar 

  • Sturmer KM, Schuchardt W (1980) [New aspects of closed intramedullary nailing and marrow cavity reaming in animal experiments. II. Intramedullary pressure in marrow cavity reaming (author’s transl)]. Unfallheilkunde 83: 346–352

    PubMed  CAS  Google Scholar 

  • Trueta J, Cavadias AX (1955) Vascular changes caused by the Kuntscher type of nailing; an experimental study in the rabbit. J Bone Joint Surg Br 37-B: 492–505

    PubMed  CAS  Google Scholar 

  • Weber B (2004) Minimax fracture fixation. Case collection: Lower leg, ankle joint, nonunions, autogenous bone transplantation. Thieme, Stuttgart New York

    Google Scholar 

  • Wenda K, Ritter G, Degreif J, Rudigier J (1988) [Pathogenesis of pulmonary complications following intramedullary nailing osteosyntheses]. Unfallchirurg 91: 432–435

    PubMed  CAS  Google Scholar 

  • Wenda K, Runkel M, Degreif J, Ritter G (1993) Pathogenesis and clinical relevance of bone marrow embolism in medullary nailing – demonstrated by intraoperative echocardiography. Injury 24 (Suppl. 3): S73-S81

    Article  PubMed  Google Scholar 

  • White TO, Jenkins PJ, Smith RD, Cartlidge CW, Robinson CM (2004) The epidemiology of posttraumatic adult respiratory distress syndrome. J Bone Joint Surg Am 86-A: 2366–2376

    PubMed  Google Scholar 

  • Williams J, Gibbons M, Trundle H, Murray D, Worlock P (1995) Complications of nailing in closed tibial fractures. J Orthop Trauma 9: 476–481

    Article  PubMed  CAS  Google Scholar 

  • Winkler B, Weber BG, Simpson LA (1990) The dorsal antiglide plate in the treatment of Danis-Weber type-B fractures of the distal fibula. Clin Orthop Relat Res 259: 204–209

    PubMed  Google Scholar 

  • Wiss DA, Stetson WB (1995) Unstable fractures of the tibia treated with a reamed intramedullary interlocking nail. Clin Orthop Relat Res 315: 56–63

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hüft- und Kniechirurgie, Schulthess Klinik, Lengghalde 2, 8008, Zürich

    Dr. med. L. Harder

  2. Klinik für Orthopädische Chirurgie und Traumatologie, Kantonsspital St.Gallen, Rorschacher Str. 95, 9007, St. Gallen

    Prof. Dr. med. M. Kuster

  3. School of Surgery, The University of Western Australia Perth, 35 Stirling Highway, Crawley, 6009, Perth, Australia

    Prof. Dr. med. M. Kuster

Authors
  1. Dr. med. L. Harder
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. med. M. Kuster
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Asklepios Klinikum Bad Abbach GmbH, Orthopädische Klinik für die Universität Regensburg, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach

    Joachim Grifka

  2. Klinik für Orthopädische Chirurgie und Traumatologie, Kantonsspital St.Gallen, Rorschacher Str. 95, 9007, St. Gallen

    Markus Kuster

  3. School of Surgery, The University of Western Australia Perth, 35 Stirling Highway, Crawley, 6009, Perth, Australia

    Markus Kuster

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Harder, L., Kuster, M. (2011). Osteosynthesen. In: Grifka, J., Kuster, M. (eds) Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-13111-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-13111-0_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-13110-3

  • Online ISBN: 978-3-642-13111-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation