Miclau T, Martin R E
University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco General Hospital 94110, USA.
Injury. 1997;28 Suppl 1:A3-6. doi: 10.1016/s0020-1383(97)90109-1.
Plate osteosynthesis is still recognized as the treatment of choice for most articular fractures, many metaphyseal fractures, and certain diaphyseal fractures such as in the forearm. Since the 1960s, both the techniques and implants used for internal fixation with plates have evolved to provide for improved healing. Most recently, plating methods have focused on the principles of 'biological fixation'. These methods attempt to preserve the blood supply to improve the rate of fracture healing, decrease the need for bone grafting, and decrease the incidence of infection and re-fracture. The purpose of this article is to provide a brief overview of the history of plate osteosynthesis as it relates to the development of the latest minimally invasive surgical techniques.
钢板内固定术仍然被认为是大多数关节骨折、许多干骺端骨折以及某些骨干骨折（如前臂骨折）的首选治疗方法。自20世纪60年代以来，用于钢板内固定的技术和植入物都在不断发展，以促进更好的愈合。最近，钢板固定方法聚焦于“生物学固定”原则。这些方法试图保留血供，以提高骨折愈合率，减少骨移植需求，并降低感染和再骨折的发生率。本文旨在简要概述与最新微创手术技术发展相关的钢板内固定术的历史。
