Why the plaster cast is a thing of30/11/2018
Knochenbrüche only rarely with a plaster. Now Ä fix;the bone doctors in one Operation by the use of screws or plates. Thereafter, the immobilisation with orthoses is
Orthosis instead of plaster: The therapy of Knochenbrüchen has now developed more
Stop, now! The cyclist sees the dog as he comes from the right running. He brakes, but before the scare with the front brake, and it happened. He flies üabout the Handlebars, stürzt on the Straße. After that nothing more goes. His leg: strangely twisted. Broken, as in the clinic.
Nowadays, following such Unfälle is usually not what many remember from childhood days: a heavy plaster, the leg forces for six to eight weeks to rest it at some point terribly to itch anfängt and already after a few days weiß . The therapy in Knochenbrüchen has developed more.
Brüche are now supplied by surgery
"The Weißgypsum frü was;the rule, today, he is the Ausnahme", Professor Reinhard Hoffmann, ä says;medical Director of the BG trauma clinic in Frankfurt am Main. Today, doctors try to in many Fäcases, Brüche in a surgery with screws, plates or Näto fix rules.
The aim of the so-called Ü is;bungsstabilität to achieve, so that the patient muscles and joints that the affected area surrounded früactivity at an early stage again kö move;can. "The advantage of this is that the fracture of the adjacent joints not stiffen and the muscles are not so very verkümmern", Dr. Ludwig Seebauer, chief physician of the center fü says;r Orthopäthe, accident surgery and sports medicine at the Klinikum Bogenhausen in MüMunich.
A plaster brings nänamely, some of the disadvantages. In addition to beginning to feel stiff joints, reduced muscles and Tendons, the bonding köcan, suffering from the skin, since hardly any air to get to the point. Also can be caused by lack of movement, a thrombosis, especially in the case of Beinbrü. In addition, the bone is with a long Comfortable porös, and descaled. "He needs a mechanical stimulus to erhalten" to;, erklärt Hoffmann.
After surgery the Patient is mobile
Ümoreover, since it is on the break. You could stabilize it with screws or a plate well, benöthe Patient is required afterwards most of the time not even a brace. So heißthe ­ en;modern rails, and the plaster in Brüor Bäof cracks abgelöst. "The patients begin to früactivity at an early stage after the procedure, with Krankengymnastik", Hoffmann says. Also köcan implants today, it is often a lifetime in the Köthe body will remain.
Patients with weak bones, such as äolder people with osteoporosis, it can happen that the screws in the bone is not so easy to grasp. In such Fäcases stüit protects the treated area zusäaddition of an orthosis. Darüaddition, some Knochenbrüche conservatively &ndash treated; so ausschließthe lich calmly. Which method hä is applied, ;depends on the break and vom Patients.
"About two-thirds of the Handgelenkbrüche to be operated on, a third is a conservative behandelt", Seebauer says. An advantage of the OP: You can already on the day after the procedure, the Hand move again, about a Cup of coffee to the mouth fülisten or wash. The humeral head fracture, the hämost common fracture in äolder people, the Verhäratio of about 50 to 50, Schenkelhalsbrüche surgery to around 95 percent.
Comfortable with plastic splints or orthoses
"In the case of old patients, surgery is not always the best Wahl", so Unfallchirurg Hoffmann. Häoften the body must after with a brace geschübe protected. "Seniors stüwill appreciate more on the operated Arm, if you removed the Rail, or a sling bandage." A surgery carries zusäin addition, a risk of infection. According to Hoffmann beträit gt but less than one percent in planned interventions.
The Rest is used nowadays mainly of plastic. "It is lighter than plaster and tragen" so pleasant;, Seebauer says. Or a quiet adjustment at the end of orthoses. One advantage: you can lose weight, the body wash. Ädoctors try to the tool so that the affected area immobile, but the adjacent joints as flexible as möpossible to stay.
Healthy dümay soon with half Köbody weight occur
Häoften it goes to the ankle or knee joint, a lower leg fracture in the affected. There, using special orthotics, the Whole thing as quiet as möresembled with those of the Patient but still partially it can occur. How very, hädepends on the injury and the condition of the bone.
"A 60-Jäyears without osteoporosis can often be quickly with the half-Köbody weight auftreten", Seebauer says. Thus, the Patient Gefühl dafür gets the anfühlt, takes Seebauer a bathroom scale to help. Gestüsupported by his Krücover, increases the Patient with the affected Fuß on the balance, up to the Hähalf of his Köbody shows weight.
Experts are also due to the increased post-treatment from the Weißplaster off. "He loosens or shifts. Then he must be stabilized with a wedge or changed werden", Hoffmann says. All in all, not so much für the good old plaster.
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