caa a22 4500 465733379 CHVBK 20180323111747.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00636165 doi (NATIONALLICENCE)springer-10.1007/BF00636165 Biological internal fixation of fractures [Elektronische Daten] [C. Gerber, J. Mast, R. Ganz] Summary: Trauma centers treat more and more patients who have sustained multiple injuries during high energy accidents. The techniques of internal fixation of such fractures may be dictated by the concomitant soft tissue trauma, rather than by the bony injury. Three stages of soft tissue injuries are recognised: Stage I delineates compromised soft tissues which may be treated with standard techniques of internal fixation, provided that further devialization by surgery is avoided. Stage II implies partial, non-circumferential destruction of soft tissues, requiring alternative techniques of internal fixation to prevent (mainly septic) complications. In stage III, the soft tissues about the fracture site are destroyed and need early, specific soft tissue reconstruction. Indirect reduction without further devascularization of bone, aiming at perfect alignment rather than anatomical reduction of extraarticular fractures, optimal rather than maximal internal fixation as well as the inclusion of soft tissue reconstructive procedures into the armamentarium of the orthopaedic surgeon, require an intellectual and technical reorientation but can be shown to improve the results of the treatment of fractures with concomitant soft tissue injury. Springer-Verlag, 1990 Gerber C. Department of Orthopaedic Surgery, University of Bern, Inselspital, CH-3010, Bern, Switzerland aut Mast J. Department of Orthopaedic Surgery, University of Bern, Inselspital, CH-3010, Bern, Switzerland aut Ganz R. Department of Orthopaedic Surgery, University of Bern, Inselspital, CH-3010, Bern, Switzerland aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 109/6(1990-11-01), 295-303 0936-8051 109:6<295 1990 109 402 https://doi.org/10.1007/BF00636165 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00636165 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gerber C. Department of Orthopaedic Surgery, University of Bern, Inselspital, CH-3010, Bern, Switzerland aut NATIONALLICENCE 700 1- Mast J. Department of Orthopaedic Surgery, University of Bern, Inselspital, CH-3010, Bern, Switzerland aut NATIONALLICENCE 700 1- Ganz R. Department of Orthopaedic Surgery, University of Bern, Inselspital, CH-3010, Bern, Switzerland aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 109/6(1990-11-01), 295-303 0936-8051 109:6<295 1990 109 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer