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Biomechanics of Locked Plates and Screws
- Source :
- Journal of Orthopaedic Trauma. 18:488-493
- Publication Year :
- 2004
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2004.
-
Abstract
- To review the biomechanical principles that guide fracture fixation with plates and screws; specifically to compare and contrast the function and roles of conventional unlocked plates to locked plates in fracture fixation. We review basic plate and screw function, discuss the design rationale for the new implants, and examine the biomechanical evidence that supports the use of such implants.Systematic review of the per reviewed English language orthopaedic literature listed on PubMed (National Library of Medicine online service).Papers selected for this review were drawn from peer review orthopaedic journals. All selected papers specifically discussed plate and screw biomechanics with regard to fracture fixation. PubMed search terms were: plates and screws, biomechanics, locked plates, PC-Fix, LISS, LCP, MIPO, and fracture fixation.The following topics are discussed: plate and screw function-neutralization plates and buttress plates, bridge plates; fracture stability-specifically how this effects gap strain and fracture union, conventional plate biomechanics, and locking plate biomechanics.Locked plates and conventional plates rely on completely different mechanical principles to provide fracture fixation and in so doing they provide different biological environments for healing. Locked plates may increasingly be indicated for indirect fracture reduction, diaphyseal/metaphyseal fractures in osteoporotic bone, bridging severely comminuted fractures, and the plating of fractures where anatomical constraints prevent plating on the tension side of the bone. Conventional plates may continue to be the fixation method of choice for periarticular fractures which demand perfect anatomical reduction and to certain types of nonunions which require increased stability for union.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Bone Screws
Locked plating
Biomechanical Phenomena
Fixation (surgical)
Fracture Fixation
Bone plate
Fracture fixation
Humans
Medicine
Orthopedics and Sports Medicine
Orthodontics
business.industry
Biomechanics
Equipment Design
General Medicine
musculoskeletal system
equipment and supplies
Surgery
Bone screws
Fracture (geology)
business
Bone Plates
Subjects
Details
- ISSN :
- 08905339
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Trauma
- Accession number :
- edsair.doi.dedup.....5d357b2d18946ba8082805f1b93f6d75