Skip to main content
SpringerLink
Log in

Konventionelle Plattenosteosynthese

Conventional plate osteosynthesis

  • Leitthema
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Die Knochenkonsolidation in der Behandlung von Frakturen, ossären Fehlstellungen und Arthrodesen ist ein essenzielles klinisches Problem, das in den meisten Fällen durch die Plattenosteosynthese gelöst wird. Ziel ist eine funktionelle postoperative Behandlung, bei der die Gelenke frei beweglich bleiben und somit die Nachteile einer langen Ruhigstellung vermieden werden. Die präoperative Planung, die operative Taktik, das Verständnis der genauen mechanischen Verhältnisse der Montage sowie die biologische Antwort der verschiedenen Gewebe sind maßgebend für den Erfolg. Die Auswahl der Implantate und die Anwendung von deren Versatilität sowie ihre Adaptation an den einzelnen Fall sind der Schlüssel zum guten Resultat.

Abstract

Consolidation of bone is an essential clinical problem when treating fractures, fixing osteotomies and fusing joints. In most cases, the means of fixation are plates and screws. The goal is functional postoperative therapy by moving the adjacent joints and thus avoiding the deleterious disadvantages of long-lasting articular immobilization. Pre-operative planning, surgical approach, a good understanding of the precise mechanics of the structure and the biological answer for the various tissues are prerequisites of successful osteosynthesis. The choice of implants and the application of their versatility, as well as their adaptation to individual cases are the key to good results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8
Abb. 9
Abb. 10
Abb. 11

Literatur

  1. Bagby GW (1977) Compression bone-plating historical considerations. J Bone Joint Surg 59-A(5):625–631

    Google Scholar 

  2. Blatter G, Weber BG (1990) Wave plate osteosynthesis as a salvage procedure. Arch Orthop Trauma Surg 109(6):330–333

    Article  CAS  PubMed  Google Scholar 

  3. Brunner CF, Weber BG (1982) Special techniques in internal fixation. Springer, Berlin

  4. Danis R (1949) Théorie et Pratique de l’Ostéosynthèse. Masson, Paris

  5. Descamps L (1970) La normalisation des vis, plaques, rondelles et écrous utilisés en ostéosynthèse. J Chir 100(1):43–60

    CAS  Google Scholar 

  6. Dietschi C, Zenker H (1973) Refractures and new fractures of the tibia after AO plate–and screw osteosynthesis. Arch Orthop Unfallchir 76(1):54–64

    Article  CAS  PubMed  Google Scholar 

  7. Eggers GWN (1946) The contact splint. Trans South Surg Assoc 68:418

    Google Scholar 

  8. Kassab SS, Mast JW, Mayo KA (1998) Patients treated for nonunions with plate and screw fixation and adjunctive locking nuts. Clin Orthop Relat Res (347):86–92

    Google Scholar 

  9. Kinkel S, Stecher J, Gotterbarm T et al (2009) Compound osteosynthesis for osteolyses and pathological fractures of the proximal femur. Orthopedics 32(6):403

    Article  PubMed  Google Scholar 

  10. Klaue K, Frigg R, Perren SM (1985) Entlastung der Osteosyntheseplatte durch interfragmentäre Zugschrauben. Helv Chir Acta 52:19–23

    CAS  PubMed  Google Scholar 

  11. Klaue K, Perren SM (1984) In vivo Untersuchungen zur Überbiegung von Kompressionsplatten. Z Orthop 122:582

    Google Scholar 

  12. Klaue K (2002) Principles of plate and screw osteosynthesis. In: Oxford Textbook of Orthopaedics & Tauma, Pt. 3 Trauma. Oxford University Press, Oxford

  13. Klaue K, Knothe U, Perren SM et al (1996) The interlocking plate screw. Further development for increasing versatiliy in osteosynthesis by plates. European Orthopaedic Research Society Transactions 6:102

    Google Scholar 

  14. Klaue K, Fengels I, Perren SM (2000) Long-term effects of plate osteosynthesis: comparison of four different plates. Injury 31(Suppl 2):S-B51–62

    Article  Google Scholar 

  15. Lane WA (1914) The operative treatment of fractures, 2nd edn. The Medical Publishing Company, London, pp 126ff

  16. Mennen U (1989) The use of a clamp-on plate for forearm fractures. Orthopedics 12:39–43

    CAS  PubMed  Google Scholar 

  17. Muhr G, Tscherne H, Szyszkowitz R (1975) Compound osteosynthesis in pertrochanteric fractures. Indication, technique, results. Monatsschr Unfallheilkd 78(8):354–360

    CAS  PubMed  Google Scholar 

  18. Nunamaker DM, Richardson DW, Butterweck DM (1991) Mechanical and biological effects of plate luting. J Orthop Trauma 5(2):138–145

    Article  CAS  PubMed  Google Scholar 

  19. Perren SM (2002) Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg Br 84(8):1093–1110

    Article  PubMed  Google Scholar 

  20. Perren SM, Russenberger M, Steinemann S et al (1969) dynamic compression plate. Acta Orthop Scand Suppl 125:31–41

    CAS  PubMed  Google Scholar 

  21. Perren SM, Klaue K, Pohler O et al (1990) The limited contact dynamic compression plate (LC-DCP). Arch OrthopTrauma Surg 109:304–310

    Article  CAS  Google Scholar 

  22. Perren SM, Klaue K (1991) Von der Schienung zur Kompression – oder wie sehr sind wir an der primären Knochenheilung interessiert? In: Wolter D, Zimmer W (eds) Die Plattenosteosynthese und ihre Konkurrenzverfahren. Springer, Heidelberg

  23. Pippow A, Krähenbühl L, Michel MC et al (2002) Combination of plate and external fixator for biological osteosynthesis of comminuted fractures. Swiss Surg 8(5):230–236

    Article  CAS  PubMed  Google Scholar 

  24. Richon A, Livio JJ, Saegesser F (1967) Recurring fractures after osteosynthesis with compression plate. Helv Chir Acta 34(1):49–64

    CAS  PubMed  Google Scholar 

  25. Rupprecht M, Grossterlinden L, Barvencik F et al (2008) Periprosthetic fractures. Long-term results after plate osteosynthesis. Stabilization. Unfallchirurg 111(10):812–820

    Article  CAS  PubMed  Google Scholar 

  26. Stoffel K, Klaue K, Perren SM (2000) Functional load of plates in fracture fixation in vivo and its correlate in bone. Healing. Injury 31(Suppl 2):S-B37–S-B50

    Article  PubMed  Google Scholar 

  27. Winkler B, Weber BG, Simpson LA (1990) The dorsal antiglide plate in the treatment of Danis-Weber type-B fractures of the distal fibula. Clin Orthop Relat Res (259):204–209

    Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Clinica Luganese Moncucco, Via Moncucco 10, CH-6900, Lugano, Schweiz

    K. Klaue

Authors
  1. K. Klaue
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to K. Klaue.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Klaue, K. Konventionelle Plattenosteosynthese. Orthopäde 39, 139–148 (2010). https://doi.org/10.1007/s00132-009-1519-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-009-1519-2

Schlüsselwörter

Keywords

Search

Navigation