Skip to content
The application techniques of bone plates in minimally invasive surgery mainly include the following points:
Small incision or percutaneous operation: Minimally invasive surgery emphasizes the protection of soft tissues, so the surgical incision should be as small as possible. When fixing the bone plate, the bone plate and screws can be inserted through small incisions or percutaneous techniques to reduce damage to the surrounding tissues.
Indirect reduction technique: In minimally invasive surgery, direct exposure of the fracture ends for reduction may be rather difficult. Therefore, indirect reduction techniques can be adopted, such as using tools like traction devices and reduction forceps, to perform reduction operations through small incisions at the proximal and distal ends of the fracture. The bone plate can serve as a reduction tool during this process, helping to maintain the alignment and alignment of the fracture ends.
The use of sights and guides: To ensure that the screws are accurately screwed into the bone plate and the fracture ends are fixed, sights and guides can be used. These devices can help doctors precisely guide the insertion direction and depth of screws under X-ray fluoroscopy, improving the accuracy and stability of fixation.
Shaping and adhesion of the bone plate: Depending on the specific shape of the fracture site, it may be necessary to appropriately shape the bone plate to ensure its tight adhesion to the bone surface. During the shaping process, it is important to avoid excessive bending or twisting of the bone plate to prevent affecting its mechanical properties.
The selection and fixation sequence of screws: In minimally invasive surgery, appropriate screws should be selected for fixation. For the cancellous bone area, cancellous bone screws can be used; For the cortical bone area, cortical bone screws are used. In terms of the fixation sequence, usually one side of the fracture end is fixed first, followed by the other side to ensure the stability of the fracture end.
Pay attention to protecting nerves and blood vessels: During the process of inserting bone plates and screws, special attention should be paid to protecting the surrounding nerves and blood vessels. Avoid excessive pulling or damage to these important structures to prevent postoperative functional disorders.
Postoperative management and rehabilitation: After minimally invasive surgery, the patient’s vital signs and the condition of the surgical site should be closely observed. Personalized rehabilitation plans are formulated based on the specific conditions of the patients, including early functional exercises, physical therapy, etc., to promote fracture healing and functional recovery.