FIXATION OF ARTHROSCOPIC FRACTURES
Arthroscopy is
a surgical procedure during which the internal
structure of a joint is examined for the diagnosis and treatment of problems
within the joint. Advances in arthroscopic techniques and equipment have led to
the use of this surgical method to correct fractures. Approximately 10% to 20%
of scapula fractures require surgery and arthroscopic fracture fixation uses
this procedure to treat a fracture of the shoulder bones in a minimally
invasive process with the help of metal instruments. fractures are those that
can be treated arthroscopically.
The main advantages of arthroscopic
fracture fixation over open methods are direct visualization of the
intra-articular space, decreased invasiveness, and the possibility of
multitasking interventions through which the fixation of the fracture and the
repair of soft tissues and cartilage can be performed simultaneously. Since
this method allows direct imaging of the fracture on an external monitor,
arthroscopic fracture fixation has so far been used successfully for the
treatment of fractures of the tibial plateau, tibial eminence, malleoli, pilon,
calcaneus, femoral head, glenoid, greater tuberosity, distal clavicle, radial
head, coronoid, distal radius, and scaphoid.
The arthroscopic shoulder fracture fixation
procedure uses the guidance of a small camera attached to an arthroscope that
allows the surgeon to view and repair damaged cartilage and tissue around the
shoulder joint with a minimally invasive technique. anesthetic to administer a
general or regional anesthetic. The arthroscope is then inserted through a
small incision made at the research site, and then more incisions are made to
insert the surgical tools to rectify the damage done to the shoulder joint.
After fixation of the fracture, the incisions are closed and sutured.
Arthroscopic fracture fixation uses a set of metal screws, pins, and suture anchors
to fix the fracture to the shoulder bone. There are 3 main bones in the
shoulder called the clavicle, shoulder blade, and arm bone. These bones are
held together with the help of muscles, tendons, ligaments, and joints to
create movement. A direct fall, accident or any type of sports injury can cause
a fracture in the bones of the shoulder losing alignment and restricting the
movement of the arms.
Although not for all fractures, arthroscopy is a minor blow to the body, it is
easier to heal, it has fewer potential wound complications, and less potential
blood loss. It allows patients to have a shorter hospital stay and retention of
shoulder and arm movements and reduces the chances of improper healing. It also
reduces the risk of healing in inappropriate positions, as the fracture repair
is aided by metal instrumentation that is inserted during surgery. Most people
need 6 weeks or more to recover. The time it takes to recover depends on the
surgery that has been performed. Until the strength and range of motion of the
shoulder have returned to normal, the range of activity will need to be
limited. The use of arthroscopy in all joints is increasing because it reduces
morbidity and has a proven ability to treat certain conditions. Arthroscopy can
be a useful adjunct to treating many of the fractures and minimizing the
problems associated with an intra-articular injury in ankle fractures.
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