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【转载】【骨科英语】Original AO principles  

2014-07-16 16:14:49|  分类: 骨科英语 |  标签: |举报 |字号 订阅

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    Today the key concepts---the AO principles--- are remarkably similar to the early AO publications from 1962 onwards. The essential feature, now as then, is the proper management of the patient and the fracture. This requires a complete understanding of patient and fracture factors that influence treatment and outcome.

     The original management objectives were (1) restoration of anatomy, (2) stable fracture fixation, (3) preservation of blood supply, (4) early mobilization of the limb and patient. These were at first presented as the fundamentals of good internal fixation. However, with increased understanding of the importance of soft tissues, the biomechanics of fixation, and how fractures heal, they have undergone certain conceptual changes to become the overall principles of fracture management and not just inernal fixation.
     Central to the AO's concepts was the understanding that articular fractures and diaphyseal fractures have very different biological requirements and the recognition that the type and timing of surgical intervention must be guided by the degree of injury to the soft-tissue envelope as well as the phusiological demands of the patient.
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