Zusammenfassung
Die winkelstabile Plattenosteosynthese gehört zu den neuesten Techniken der Plattenosteosynthese. Ihr Ziel ist es, während der Operation bei kleinstmöglichen Schnitten und unter Aufrechterhaltung der Blutversorgung des Knochens und des umgebenden Gewebes das geringstmögliche Trauma zu verursachen. Weiterhin soll Sorge dafür getragen werden, dass es nur zu einem möglichst geringen Kontakt zwischen Knochen und Implantat kommt.
Abstract
Locked plating is one of the most modern plating techniques, the aim of which is to achieve the smallest possible surgical trauma, small incisions, preserve blood supply to the bone and adjacent soft tissues, and to ensure a minimal bone-implant interface.
Literatur
Allgöwer M, Ehrsam R, Ganz R et al (1969) Clinical experience with a new compression plate „DCP“. Acta Orthop Scand Suppl 125:45–61
Brunner C, Weber BG (1982) Special techniques in internal fixation. Springer, Berlin
Farouk O, Krettek C, Miclau T et al (1997) Minimally invasive plate osteosynthesis and vascularity: preliminary results of a cadaver injection study. Injury 28(Suppl 1):A7–A12
Farouk O, Krettek C, Miclau T et al (1999) Minimally invasive plate osteosynthesis: does percutaneous plating disrupt femoral blood supply less than the traditional technique? J Orthop Trauma 13(6):401–406
Frigg R (2001) Locking Compression Plate (LCP): An osteosynthesis plate based on the Dynamic Compression Plate and the Point Contact Fixator (PC-Fix). Injury 32(Suppl 2): 63–66
Frigg R (2003) Development of the locking compression plate. Injury 34(Suppl 2):B6–B10
Frigg R, Appenzeller A, Christensen R et al (2001) The development of the distal femur less invasive stabilization system (LISS). Injury 32:SC24–SC31
Gosling T, Schandelmaier P, Müller M et al (2005) Single lateral locked screw plating of bicondylar tibial plateau fractures. Clin Orthop Relat Res 439:207–214
Krettek C, Müller M, Miclau T (2001) Evolution of minimally invasive plate osteosynthesis (MIPO) in the femur. Injury 32(Suppl 3):SC14–SC23
Krettek C, Schandelmaier P, Miclau T et al (1997) Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures. Injury 28(Suppl 1):A20–A30
Markmiller M, Konrad G, Südkamp N (2004) Femur-LISS and distal femoral nail for fixation of distal femoral fractures: are there differences in outcome and complications? Clin Orthop Relat Res 426:252–257
Mast J, Jakob R, Ganz R (1989) Planning and reduction technique in fracture surgery. Springer, Heidelberg
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
Rüedi TP, Sommer C, Leutenegger A (1998) New techniques in indirect reduction of long bone fractures. Clin Orthop Relat Res 347:27–34
Schütz M, Müller M, Kääb M et al (2003) Less invasive stabilization system (LISS) in the treatment of distal femoral fractures. Acta Chir Orthop Traumatol Cech 70(2):74–78
Schütz M, Müller M, Krettek C et al (2001) Minimally invasive fracture stabilization of distal femoral fractures with the LISS: a prospective multicenter study. Results of a clinical study with special emphasis on difficult cases. Injury 32(Suppl 3):SC48–SC54
Sommer C, Gautier E, Müller M et al (2003) First clinical results of the Locking Compression Plate (LCP). Injury 34(Suppl 2):B43–B54
Stannard JP, Wilson TC, Volgas DA et al (2003) Fracture stabilization of proximal tibial fractures with the proximal tibial LISS: early experience in Birmingham, Alabama (USA). Injury 34(Suppl 1):A36–A42
Wagner M (2003) General principles for the clinical use of the LCP. Injury 34(Suppl 2):B31–B42
Wagner M, Frenk A, Frigg R (2004) New concepts for bone fracture treatment and the locking compression plate. Surg Technol Int 12:271–277
Wagner M, Frigg R (eds) (2006) AO manual of fracture management: internal fixators. Thieme, Stuttgart
Interessenkonflikt
Der Autor gibt an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wagner, M. Vor- und Nachteile der winkelstabilen Plattenosteosynthese. Orthopäde 39, 149–159 (2010). https://doi.org/10.1007/s00132-009-1520-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00132-009-1520-9
Schlüsselwörter
- Überbrückunsosteosynthesen
- Achsenstabilität
- Winkelstabilität
- Minimal-invasive Plattenosteosynthese (MIPO)
- Indirekte Reposition