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DOI: 10.1055/s-2003-44839
© Georg Thieme Verlag Stuttgart · New York
Die dorsale Doppelplattenosteosynthese am distalen Radius - ein biomechanisches Konzept und dessen klinische Realisation
Dorsal Doubleplating for Fractures of the Distal Radius - A Biomechanical Concept and Clinical ExperiencePublication History
Publication Date:
29 January 2004 (online)
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Zusammenfassung
Dieser Artikel beschreibt die anatomischen und biomechanischen Grundlagen für die stabile innere Fixation von distalen Speichenbrüchen über einen dorsalen Zugang. Die Entwicklungen der letzten zehn Jahre, welche auf dem von unserer Gruppe propagierten Dreisäulenmodell des distalen Vorderarms gründen, werden aufgezeichnet. Das tiefere Verständnis der anatomischen Gegebenheiten, das biomechanische Modell der drei Säulen und die klinischen Erfahrungen haben zur Entwicklung von verschiedenen vorgeformten Platten der Dimension 2,4 mm geführt mit der Möglichkeit der Kopfverriegelung der Plattenschrauben (Locking Compression Plate, LCP).
Abstract
This article describes the anatomical and biomechanical rationale for stable internal fixation of distal radius fractures using a dorsal approach. The three column biomechanical model is illustrated. Advances in the understanding of the anatomy, the biomechanical model of the three columns and our clinical experience with dorsal double plating have lead to the development of a new set of precontoured 2.4 mm Titanium plates with the option for head locking screws.
Schlüsselwörter
Distale Radiusfraktur - Osteosynthese - Biomechanik
Key words
Distal radius fracture - internal fixation - biomechanics
Literatur
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Daniel A. Rikli
Leitender Arzt Chirurgie A
Kantonsspital
6000 Luzern
Schweiz
Email: daniel.rikli@ksl.ch