Locking plate technology and its role in osteoporotic fractures

被引:72
作者
Miranda, Michael A. [1 ]
机构
[1] Univ Connecticut, Hartford Hosp, Sch Med, Hartford, CT 06112 USA
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2007年 / 38卷
关键词
osteoporosis; pathological fracture; locking-plate technology; fracture fixation failure;
D O I
10.1016/j.injury.2007.08.009
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Osteoporosis is a public health issue that leads to increased morbidity and dependency in an increasing population. Fractures in osteoporotic bone have been a contraindication to internal fixation due to their past poor results. Various treatment methods and innovations have been attempted that have met with some success. This paper reviews one such innovation, locking-plate osteosynthesis, looking at its. technology and success and its role in osteoporotic patients. As this is an evolving technology, surgeon's experience with these plates and screws are in advance of clinical studies and therefore the surgeons should proceed with caution when choosing locking plate technology in the treatment of osteoporotic fractures.
引用
收藏
页码:35 / 39
页数:5
相关论文
共 39 条
[1]  
Cornell CN, 2005, CURR OPIN ORTHOP, V16, P376
[2]   Fixation principles in metaphyseal bone-a patent based review [J].
Curtis, R. ;
Goldhahn, J. ;
Schwyn, R. ;
Regazzoni, P. ;
Suhm, N. .
OSTEOPOROSIS INTERNATIONAL, 2005, 16 (Suppl 2) :S54-S64
[3]   An augmented fixation method for distal fibular fractures in elderly patients: A biomechanical evaluation [J].
Dunn, WR ;
Easley, ME ;
Parks, BG ;
Trnka, HJ ;
Schon, LC .
FOOT & ANKLE INTERNATIONAL, 2004, 25 (03) :128-131
[4]   Treatment of complex tibial plateau fractures using the less invasive stabilization system plate: Clinical experience and a laboratory comparison with double plating [J].
Egol, KA ;
Su, E ;
Tejwani, NC ;
Sims, SH ;
Kummer, FJ ;
Koval, KJ .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2004, 57 (02) :340-346
[5]   Biomechanics of locked plates and screws [J].
Egol, KA ;
Kubiak, EN ;
Fulkerson, E ;
Kummer, FJ ;
Koval, KJ .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2004, 18 (08) :488-493
[6]   A new locking plate for unstable fractures of the proximal humerus [J].
Fankhauser, F ;
Boldin, C ;
Schippinger, G ;
Haunschmid, C ;
Szyszkowitz, R .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (430) :176-181
[7]   Fixation of diaphyseal fractures with a segmental defect: A biomechanical comparison of locked and conventional plating techniques [J].
Fulkerson, E ;
Egol, KA ;
Kubiak, EN ;
Liporace, F ;
Kummer, FJ ;
Koval, KJ .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2006, 60 (04) :830-835
[8]   INTERNAL-FIXATION TECHNIQUE IN PATHOLOGICAL FRACTURES OF THE EXTREMITIES [J].
GANZ, R ;
ISLER, B ;
MAST, J .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1984, 103 (02) :73-80
[9]   Guidelines for the clinical application of the LCP [J].
Gautier, E ;
Sommer, C .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2003, 34 :63-76
[10]   Single lateral locked screw plating of bicondylar tibial plateau fractures [J].
Gosling, T ;
Schandelmaier, P ;
Muller, M ;
Hankemeier, S ;
Wagner, M ;
Krettek, C .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2005, (439) :207-214