Biomechanics of Upper Extremity Double Plating. / Die Biomechanik der Doppelplattenosteosynthese an der oberen Extremität.
Z Orthop Unfall
; 158(2): 238-244, 2020 Apr.
Article
en En, De
| MEDLINE
| ID: mdl-31067575
Double plating (DP) is an established treatment modality in traumatology. For certain indications, such as open reduction and internal fixation of bicondylar tibial plateau fractures and distal humeral fractures, DP is standard of care in the clinical routine. However, the principles of DP can be transferred to other anatomic regions and indications. In the past years, DP has been brought more and more into focus. For revision cases, such as the treatment of fracture non-unions, DP seems generally useful. In anatomical locations with high torsional stress and bending forces, but also in regions with traction forces by muscles and tendons DP provides multiplanar stability and therefore seems to have biomechanical advantages. Usually two smaller implants can replace one larger implant. Thus, the number of points of fixation can be increased, the stability can be improved and soft-tissue irritations by bulky implants can be minimized. Along with the established indication and application at the distal humerus, there is biomechanical evidence in the current literature for DP of clavicle fractures and humeral shaft fractures. Furthermore, DP provides mechanical advantages in the treatment of certain proximal humeral fractures and olecranon fractures. This review of the literature summarizes the published literature on biomechanics of upper extremity DP.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Extremidad Superior
Límite:
Humans
Idioma:
De
/
En
Revista:
Z Orthop Unfall
Asunto de la revista:
ORTOPEDIA
/
TRAUMATOLOGIA
Año:
2020
Tipo del documento:
Article
Pais de publicación:
Alemania