Winkelstabile Plattenosteosynthese an der Tibia

Zusammenfassung

Der zunehmende Einsatz von winkelstabilen Implantaten erleichtert die Plattenosteosynthese an der Tibia. Einerseits wird somit eine gute Plattenverankerung in osteoporotischem Knochen gewährleistet. Andererseits erleichtert die stabile Schrauben-Platten-Verbindung die Anwendung einer minimalinvasiven Technik und ermöglicht die unilaterale Versorgung von instabilen Gelenkfrakturen.

Angle-Stable Implants for Plating the Tibia

The increasing use of angle-stable implants facilitates the plating of the tibia. On the one hand, a good anchorage of the plate is provided in osteoporotic bone. On the other hand, the stable screw-plate interface facilitates the application of a minimally invasive technique in fracture fixation and enables unilateral fixation of unstable articular fractures.

• Literatur

• 1 Sommer C, Gautier E, Muller M et al. First clinical results of the Locking Compression Plate (LCP). Injury 2003; 34 (Suppl. 02) B43-B54
• 2 Stoffel K, Dieter U, Stachowiak G et al. Biomechanical testing of the LCP – how can stability in locked internal fixators be controlled?. Injury 2003; 34: 11-19
• 3 Cullen AB, Curtiss S, Lee MA. Biomechanical comparison of polyaxial and uniaxial locking plate fixation in a proximal tibial gap model. J Orthop Trauma 2009; 23: 507-513
• 4 Potocnik P, Acklin YP, Sommer C. Operative strategy in postero-medial fracture-dislocation of the proximal tibia. Injury 2011; 42: 1060-1065
• 5 Bhandari M, Guyatt G, Tornetta 3rd P et al. Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures. J Bone Joint Surg [Am] 2008; 90: 2567-2578
• 6 Snow M, Thompson G, Turner PG. A mechanical comparison of the locking compression plate (LCP) and the low contact-dynamic compression plate (DCP) in an osteoporotic bone model. J Orthop Trauma 2008; 22: 121-125