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Mono- vs. polyaxiale winkelstabile Plattensysteme

Mono- versus polyaxial locking plates

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Zusammenfassung

Die konventionelle Plattenosteosynthese befindet sich im Wandel. Hierbei hat das Konzept der Winkelstabilität einen besonderen Stellenwert. Die monoaxiale winkelstabile Plattenosteosynthese überzeugte durch rasche Knochenheilung via Kallus, minimale Weichteilirritation und Überlegenheit im osteoporotischen Knochen. Einige Implantate erlauben die polyaxiale Kopfverriegelung. Die ersten Ergebnisse von biomechanischen und klinischen Vergleichsuntersuchungen der mono- und polyaxialen winkelstabilen Plattensysteme werden präsentiert.

Abstract

Conventional plate osteosynthesis is undergoing a period of transition. The concept of locking plate osteosynthesis is of special importance. Monoaxial locking plate osteosynthesis has shown promising results (rapid bone healing via callus, minimal soft tissue irritation, advantageous in osteoporosis). Some implants allow for polyaxial locking. The first results of comparative studies concerning biomechanics and clinical outcome of mono- versus polyaxial locking plates are presented.

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Notes

  1. Diese Aufzählung kann in keinem Fall den Anspruch auf Vollzähligkeit erheben, sie soll nur eine beispielhafte Nennung einiger Hersteller darstellen, welche derartige Systeme produzieren.

Abbreviations

AO:

Arbeitsgemeinschaft für Osteosynthesefragen

ASIF :

„Association for the Study of Internal Fixation“

LC-DCP:

„Limited contact dynamic compression plate“

LCP:

„Locking compression plate“

LCP-DF:

LCP für den distalen Femur

LCP-PLT:

LCP für die proximale Tibia

LISS:

„Less invasive stabilization system“

MIPO:

Minimalinvasive perkutane Osteosynthese

PC-fix:

„Point contact fixator“

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Einhaltung der ethischen Richtlinien

Interessenkonflikt. Der korrespondierende Autor weist auf folgende Beziehungen hin: M. Hanschen gibt an, dass kein Interessenkonflikt besteht. P. Biberthaler ist AO-Kurs-Instruktor für das monoaxiale LISS®-System (Synthes) und für das polyaxiale NCB®-System (Zimmer-Institut). Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland

    M. Hanschen & P. Biberthaler

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  1. M. Hanschen
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  2. P. Biberthaler
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Correspondence to M. Hanschen.

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Hanschen, M., Biberthaler, P. Mono- vs. polyaxiale winkelstabile Plattensysteme. Unfallchirurg 116, 733–743 (2013). https://doi.org/10.1007/s00113-013-2451-9

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  • DOI: https://doi.org/10.1007/s00113-013-2451-9

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