Minimally Invasive Fracture Surgery

The idea behind minimally invasive fracture surgery is to reduce the damage caused by surgery for the treatment of injured patients. Surgical treatments may cause additional burden and stress to metabolism damaged by trauma.

The historical origin of the Minimally Invasive Fracture Surgery dates back to the 19th century, first started with external fixation methods. It was an important period with the advancement of arthroscopic surgery and intramedullary nailing techniques of the 20th century.

The negative consequences (nonunion, infection, delayed recovery and cosmetic problems) of open plate screw applications, which all include open correction and bone fixation, have led scientists to study on new solutions. When the healing potential of simple fractures in plaster is examined, the value of the vascularization of the bones around the fracture and soft tissues covering the fracture is better understood. From this point of view, the fracture area was trying to be fixed by correcting the fracture parts from outside.

Minimally invasive plating has advanced to the present day with the technological advantage of the strongest fixation techniques with the help of these principles.

The basic principles of minimally invasive fracture surgery can be summarized as follows:

  • Attachment of fixation devices to bones with small incisions.
  • Minimal damage to soft tissues and fractures.
  • Indirectly correcting the curves without revealing the bones.
  • Determining the appropriate union model (Periosteal-Endosteal), the selection of appropriate fixing materials that will provide accurate hardness according to the model.

What are the Cases of Minimally Invasive Fracture Surgery?