Evolution of AO Fracture Treatment Part 1: the Internal Fixator
S M Perren1, A Fernandez Dell'oca, P Regazzoni
1Davos, Switzerland.
Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|January 20, 2018
Summary
Surgical fracture treatment evolved from focusing solely on bone healing to prioritizing early limb function recovery. Understanding past limitations is key to appreciating modern surgical advancements in fracture care.
Area of Science:
- Orthopedic surgery
- Trauma care
- Biomedical engineering
Background:
- Historically, surgical fracture treatment prioritized anatomical reduction and solid bone healing.
- Early methods, while achieving union, often resulted in prolonged immobility and functional deficits.
Purpose of the Study:
- To trace the evolution of surgical fracture treatment principles.
- To highlight the shift from solely achieving bone healing to optimizing functional recovery.
- To use AO plate fixation as a model for discussing biomechanical and biological advancements.
Main Methods:
- Review of historical approaches in surgical fracture treatment.
- Analysis of the evolution of biomechanical and biological principles in fracture fixation.
- Case study focusing on the development of AO plate fixation techniques.
Main Results:
- The primary goal shifted from anatomical reduction and solid healing to early functional recovery.
- Understanding historical shortcomings informed the development of improved treatment strategies.
- AO plate fixation exemplifies the integration of biomechanical and biological advancements.
Conclusions:
- Surgical fracture treatment has significantly evolved towards functional restoration.
- The historical context of fracture care is crucial for understanding current best practices.
- Continued refinement of biomechanical and biological principles drives progress in orthopedic trauma surgery.
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