OSTEOSYNTHESIS - basic principles of osteosynthesis - screw and plate

OSTEOSYNTHESIS

Osteosynthesis is the surgical treatment of bone fractures to restore full function.

The basic principles of osteosynthesis are:

1.    Restore the anatomy (reduction of fragments);

2.    Establish stability (internal fixation with implants);

3.    Preserve blood supply;

4.    Early mobilization of the limb and patient.

Plates and screws are the most used implants in the osteosynthesis.

SCREW

A screw is a mechanical device that converts rotation into linear movement, as you rotate the screw clockwise the tip of the screw advances.

Screws are used alone or with a plate and they can be classified according to:

·      Size (the size usually refers to the thread diameter);

·      Design (locking head, conventional, cannulated screw, etc.);

·      Function (Lag screw, plate screw, position screw);

·      Characteristics (self-tapping, self-drilling, etc.);

·      Application site (cortical, cancellous, bicortical).

But these terms are sometimes mixed, for example, a screw might be referred to as a 4.5mm self-tapping cortex screw.

A standard bone screw consists of head, core, thread and tip.

PLATES

Plates can be classified according to:

·      Design (third tubular plate, DCP-dynamic compression plate-; LCDCP-low contact dynamic compression plate-; LCP-locking compression plate-);

·      Function (Compression, Protection (also called neutralization), buttress, tension band and bridging).

The instruments necessary for the implantation of all these implants (drills, taps, guides, countersink, depth gauge, screwdrivers, etc) must be in perfect condition (sterilized, sharp, etc.).

The scrub nurse has to know instrumentation and the different techniques. Protocols about all of them are useful and training is very important.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Doctor Enrique Galindo Andujar Traumatology Specialist in Madrid Spain: Doctor Enrique Galindo Andujar (Traumatology Clinic Madrid Spain)

Doctor Enrique Galindo Andujar Traumatology Specialist in Madrid Spain: Doctor Enrique Galindo Andujar (Traumatology Clinic Madrid Spain)

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Malaga was visited by Traumatology Nurses - Spanish Traumatology and Orthopaedic Nursing Association (AEETO) Congress 2014

Malaga was visited for Traumatology Nurses

The XIII National Congress of Spanish Traumatology and Orthopaedic Nursing Association (AEETO) finished the 25^th April 2014 after three intensive days of work.

Elena Miguel led the inauguration of the Congress. The President of the Official Nursing Association of Malaga, Juan Antonio Astorga, and the President of the scientific committee, Diego Cantalejo, also welcomed all the participants.

The first day, there was a simulation exercise in Malaga´s port with “Trauma patient care in the aquatic medium” to attract the interest of participants of the Congress.

During the other two days, in the auditorium of Palacio de Congresos de Málaga, all the speakers shared their latest experiences always with the motto “Traumatology and Orthopaedic Nursing: integrating science and emotions”.

After each hard day of work, we could take part in other activities organized by the AEETO Association, for example:

·      Downtown sightseeing with tourist guides

·      In the end, dinner in one of the oldest taverns of Malaga, El Pimpi, where Elena Miguel signed on a cask as President of the Spanish Traumatology and Orthopaedic Nursing Association.

The last day, after awards, Elena Miguel and Juan Antonio Astorga closed the Congress, thanking the quality and exciting participations of all.

In the days following the Congress, the organizing committee have received a lot of gratitude and congratulations for the good organization.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Málaga, centro de la enfermería traumatológica y ortopédica

    DIARIO ENFERMERO 

(CONSEJO GENERAL DE COLEGIOS OFICIALES DE ENFERMERIA DE ESPAÑA)

Málaga, centro de la enfermería traumatológica y ortopédica

Bajo el lema "Enfermería en C.O.T: Integrando Ciencia y Emociones", la Asociación Española de Enfermería en Traumatología y Ortopedia (AEETO) ha celebrado estos días su XIII Congreso en Málaga con más de 250 participantes llegados desde toda la geografía española para compartir conocimientos, experiencias y estar al día de los últimos avances.

La presidenta de AEETO, Elena Miguel, el presidente del Colegio de Enfermería de Málaga, Juan Antonio Astorga, y el presidente del comité científico, Diego Cantalejo, fueron los encargados de la inauguración.

En su discurso, Astorga destacó el “poder de convocatoria” de la cita con el ánimo de ser mejores profesionales, no solo en los conocimientos, sino en lo que se refiere a la “cercanía a los pacientes” y valoró ese “interés por avanzar” de los asistentes a los que animó a “apasionarse” por la práctica enfermera ahora que corren tiempos difíciles.

Por su parte, la presidenta de AEETO, quiso poner de relieve que desde la asociación trabajan durante todo el año con cursos de formación, becas para los congresos, revista especializada y ahora también cursos online: “Os invito a que expreséis y compartáis vuestra experiencias y emociones que nos sirvan a todos para enriquecernos en este Congreso”, ha dicho Elena Miguel.

El programa estuvo cargado de ponencias, mesas redondas, seminarios y ejercicios de simulación práctica como la atención politrauma en el medio acuático, que se llevó a cabo en el puerto de la ciudad malagueña.

Elena Miguel indicó que en lo que respecta a los trabajos de carácter científico presentados han sido un total de 70 pósters y 42 comunicaciones libres.

Esta iniciativa ha intentado, un año más, de congregar a los enfermeros y enfermeras de todo el país para compartir proyectos, inquietudes y conocimientos con el fin de promover la investigación y la creación de estrategias para normalizar la práctica enfermera que repercutirá en la calidad de los cuidados a los pacientes y su salud.

Elena Miguel, presidenta de A.E.E.T.O y Juan Antonio Astorga, presidente del Colegio de Enfermería de Málaga

Elena Miguel Poza - Enfermera coordinadora y profesora de enfermería - Nurse, nursing coordinator & trainer in IMTRA Instituto Madrileño de Traumatologia (Madrid Spain) Tel: (0034) 915545405 Email: elena@imtra.es Web site: http://www.imtra.eu

Donate blood is giving life! Become a donor! Cruz Roja Española (Spanish Red Cross) Madrid Spain

Donate blood is giving life!  Become a donor!

Blood is used frequently to treat:

• ·      Patients with severe anaemia
• ·      Accident victims
• ·      Patients undergoing surgical procedures
• ·      Transplant suffering patients
• ·      Patients with cancer

There is constant need of a regular blood supply because it can be stored only during a limited time before it’s used.

Blood is the more precious gift that a person can offer to others.  The decision to donate blood can save the life a person or several even.

Donor requirements

• ·      Over 18 and under 65
• ·      Over 50 Kilos
• ·      Not suffering or having suffered from blood-borne diseases (Hepatitis C and B, Malaria, AIDS, etc.)
• ·      Spend a little medical examination: taking blood pressure, determination of haemoglobin, health questionnaire.
• ·      Not fasting.

What is obtained from donated blood?

Blood is fractional in:

• ·      Red cell concentrate
• ·      Plasma
• ·      Platelets

You can donate in several places:

• ·      Hospitals (Blood banks)
• ·      Transfusion Centers:

o   Cruz Roja Española (Spanish Red Cross): C/ Juan Montalvo  3 (Madrid)

o   Comunidad de Madrid: Avd Democracia s/n (Valdebernardo-Madrid)

• ·      Mobile Units (donation buses)

Remember!

  1.   Donate blood is a non-profit and voluntary action;

  2.   Blood is regenerated but is not possible to manufacture;

  3.   Blood can save lives and somebody is waiting for it;

  4.   Why are you not a donor?

Elena Miguel Poza Enfermera Coordinadora - Nursing Coordinator in IMTRA http://www.imtra.eu Email: elena@imtra.es