28. bis 29.11.2026
The treatment of fractures poses specific problems for implant management, whether internal or external osteosynthesis is used. Internal Osteosynthesis. The method requires more or less extensive exposure to the fracture segment, increasing the risk of creating local biological damage. On the other hand, ensuring adequate leverage to the plate is fundamental to reducing the risk of implant fatigue failure. Additionally, many locked implants must be removed to reduce the risk of demineralization associated with the plate, especially in small dogs. Implant removal increases the risk of refracture if bone consolidation is not complete. External Osteosynthesis. When used as the sole fixation technique, closed reduction of the fracture requires significant experience and often the use of intraoperative fluoroscopy. Considering the lifespan of an external system, the period following removal of the fixator presents a potential risk of refracture if bone consolidation is not complete. Internal/External Hybrid Fixation. The goal of internal/external hybrid fixation is to reduce the impact of the aforementioned problems using the following logic. • The procedure begins with stabilizing the fracture using either technique that achieves fracture reduction and stabilization in the most straightforward manner possible. If internal osteosynthesis is started, a small plate is applied, which would be insufficient as the sole fixation method but insufficient alone. Due to its small size, surgical access is also usually very limited. If the fracture is too complex to reduce, it is advisable to place the fixator first, which will be used as a reduction tool in this phase. • Whichever sequence is used, internal osteosynthesis stabilizes the fracture fragments. At the same time, the external fixator ensures the leverage arm that counteracts the forces generated by the load on the bone segment, thanks to the fact that the fixator can be attached to both ends of the bone segment without the need for an approach. This result can be achieved with a minimally invasive procedure. • The stability ensured by the implants allows immediate loading after the procedure. • Once the bone callus has developed, the fixator can be removed without the risk of refracture, thanks to the presence of the plate that shares the load with the callus. Given the small size of the plate, its removal is not mandatory, thanks to the reduced risk of protection against loads and subsequent bone resorption. Therefore, this approach allows minimizing the risks related to specific implant problems and enabling rapid recovery of function with a low incidence of complications, leveraging the useful aspects of both techniques.
Zu bezahlender Betrag für Nichtmitglieder:
Aufgrund der eingegebenen Daten (Anmeldestatus: Student, etc.) kann sich der endgültige Betrag noch ändern. Der verbindliche Betrag wird auf der nächsten Seite angezeigt.
Um den Mitgliederpreis zu erhalten, loggen Sie sich bitte mit Ihren Zugangsdaten ein.
Kennwort vergessen?
Jetzt Mitglied werden
Felder mit * sind Pflichtfelder