When to remove means of synthesis?
The removal of the means of synthesis occurs approximately 12-18 months after the previous osteosynthesis operation. This type of surgery involves a surgical incision on the previous wound and the subsequent removal of plates, screws, intramedullary nails, wires.
the external fixator is removed under anesthesia or if a pin or plate needs to be removed.
K wires are removed on average after about 50-60 days, by means of a small skin incision always performed in Day-Surgery and in loco-regional anesthesia.
Recovery can take two / three months: it is necessary to work very well to regain safety and stability in walking. In this regard, muscle strengthening is indispensable.
osteosynthesis Surgical restraint with the aim of keeping interrupted skeletal segments in contact in their continuity, until the formation and consolidation of the callus. It is performed in fractures, osteotomies, pseudarthrosis, epiphyseal detachments.
The principle of intramedullary fixation is to re-establish continuity of the fractured bone and keep it stable by inserting a means of fixation into the medullary cavity of the bone.
Definition. Pseudarthrosis is defined as the non-consolidation of a fracture approximately 6 months after the traumatic event. It is a late complication caused by the interruption of the normal healing processes of the fracture.
When you get up, slide your pelvis to the edge of the chair, then levering up your arms, extending the operated limb. We advise the patient to look up while sitting or standing up to minimize trunk flexion. Getting on and off the bed on the side of the operated limb.
- assisted passive flexion of the hip,
- assisted passive knee flexion,
- hip flexor stretching,
- hamstring stretching,
- buttock stretching,
- stretching of the adductors and abductors,
- A total hip joint prosthesis can be applied.
- You can opt for an endoprosthesis, ie for the replacement of only the distal end of the femur (recommended for older patients).
Transkeletal traction, which consists in driving a metal wire at the end of the fractured bone to exert traction along the major axis of the bone, in the treatment of fractures.
The treatment of joint fractures involves the use of plates and / or screws as means of synthesis. The removal of the means of synthesis occurs approximately 12-18 months after the previous osteosynthesis operation.
If the surgeon has a cerclage inserted, after 6 months or a year they may recommend removal if the fracture is consolidated and stable.
a reasonable time must have elapsed since the synthesis (> 90 days); b. the radiographs, taken in the 4 projections, must show a good apposition of the callus, in at least three projections; c.
The external skeletal fixator, a form of skeletal traction, is an immobilization technique used to stabilize, align and / or apply traction to fractured bones; it can also be used to stretch the leg bones, correct limb deformities, or immobilize the cervical spine ...
is an orthopedic device, used in the treatment of fractures or in the correction of bone defects, mounted on the outside of the body which is fixed to the bone by means of pins or wires that pass through the skin.
Generally the fracture causes: Immediate acute pain, which can radiate towards the groin, but can also be felt at the knee and ankle. Sensation of a snap at the time of trauma. Difficulty standing and moving the leg.
Once your surgeon has determined that you can return to driving, you should use pillows to keep your torso erect and not bend your hip 90 degrees. In both cases, when he gets out of the car, he doesn't have to turn his knee inward, but move his legs together, applying strength with his arms.
The most common non-surgical treatment is carried out with a plaster cast or with an external brace, in the case of serrated pseudarthrosis. The use of PEMF (pulsed electromagnetic fields) or stimulation with shock waves may be useful.
After the removal of the cast, the foot can be swollen, weak and painful as we have seen. It is therefore necessary to dedicate oneself at first to the resolution of swelling and pain, but a very important part in this phase is the recovery of the functionality of the foot.
Lamellar bone formation: Fibrous bone tissue is removed by osteoclasts and cartilage tissue necroses and is invaded by capillaries and osteoclasts. Osteoblasts lay an osteoid which calcifies and generates bone tissue.
It is a constantly changing structure that tends to become more and more resistant until the bone is completely reformed. Even after turning into bone the callus persists in structural changes until it returns to normal. This process lasts up to two years.
The duration of physiotherapy varies depending on the person and generally requires a month and a half of constant activity. The exercises can be performed at home already in the first days of the post surgery and then continue with the help of a specialized physiotherapist ".
Knee replacement surgery
The duration of a total knee replacement surgery is usually around 60 minutes and is done through an incision of about 15 centimeters, which is made in the front of the knee.