Winkelstabile Implantate am proximalen Femur
| Autor: | M. Rapp, K.-K. Dittel |
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| Rok vydání: | 2005 |
| Předmět: | |
| Zdroj: | Aktuelle Traumatologie. 35:155-162 |
| ISSN: | 1438-9436 0044-6173 |
| DOI: | 10.1055/s-2005-865733 |
| Popis: | The use of angle stable implants is not innovative because already in the middle of the last century those implants were used effectively giving better operative results to a high rate. The principle of the angle stability is of enormous importance because a proximal femoral fracture includes a life threatening situation often being negatively influenced by strong bending forces, the individual status of osteoporosis and the fact that the injury has taken place at a burden limb. The advantages of angle stable inclined actual dynamic stabilization systems guarantee always partial load stability and to a high rate a full load capacity. The difference to angle stable implants at other regions points out that there are two supplementary systems with and without sliding mechanism and implants with extra- and intramedullary stabilization. The angle stability may be influenced by external effects and factors under regard to the specified fracture classification which influences the indication for a certain implant. Finally the patient's compliance can influence the angle stability decisevely by a second bang or by comorbidity. Reflecting to the past we can differenciate historical, conventional still actual and innovative angle stability. |
| Databáze: | OpenAIRE |
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