The biological plate osteosynthesis

摘要: The continually evolving understanding of bone biology and the analysis clinical complications have led to a modified approach in internal fixation using plates. Anatomical reduction fragments comminuted diaphyseal metaphyseal fractures itself is no longer goal. Important aims are correct length bone, axial torsional alignment. preservation viability key unimpaired fracture healing. primary stability an osteosynthesis seems be minor importance for More important rapid integration unreduced but vital into callus which buttresses area opposite plate reducing risk overload fatigue failure implant. Additional grafting leeds local vascular disturbance rarely indicated. Indirect technique with aid table or distractor minimal optimal use implant material new concept achieve undisturbed repair fractures. In articular anatomic restoration surface can obtained by combination indirect (ligamentotaxis, soft tissue taxis) accurate direct certain strategic fragments. Modifications design (limited contact, point contact) minimize additional damage help accomplish this concept.