[Use of palacos in osteosynthesis for the connection of fragments (combined internal fixation)]

Internal fixations have become a frequent approach in surgery due to the profound studies dealing with biomechanical details of fractures and quality of metal devices. In the beginning, it seemed practically possible to manage easily, almost all the fractures by using various internal fixation devices excluding, naturally, those which have retained or shall retain probably some indications of further cure by closed methods. Moreover, certain doubts remain still open, particularly for the reason whether all internal fixations have been sufficiently rigid and if so, shall it be indispensable to count on the introduction of additional materials in order to strenghten these fractures. The outcome of the daily practice 1rd traumatho to approach the use of the bone cement, initially to help the fixation of new joints. Later the use of the bone cement was applied for the shaft and pathological fractures in combination with autogenous cancellous bone. Thus, the new notion was borne in traumathology which in the form of combined internal fixation has become a familiar term throughout the professional literature. Cases of the experience gained and this particular approache in surgery will be a subject of the report.