Larson Annalise Noelle, Rizzo Marco
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Hand Clin. 2007 May;23(2):269-78, vii. doi: 10.1016/j.hcl.2007.02.004.
Locking plate technology has been a major advance in fracture care. These plates afford a stronger construct and have been useful in cases where the bone is osteoporotic and unicortical fixation or distal periarticular fracture fixation is necessary. Disadvantages include fixed angle screw fixation and inability to compress at the fracture site; however, the use of a combination of compression and locking screws allows for both fracture compression with cortical screws and stronger fixation with locking screws. Future studies will refine the indications and overall efficacy in the use of this technology.
锁定钢板技术是骨折治疗领域的一项重大进展。这些钢板能提供更坚固的结构，在骨质疏松需要单皮质固定或关节周围远端骨折固定的病例中很有用。缺点包括固定角度螺钉固定以及无法在骨折部位进行加压；然而，联合使用加压螺钉和锁定螺钉既可以用皮质螺钉进行骨折加压，又能用锁定螺钉实现更强的固定。未来的研究将进一步明确该技术的适应证和整体疗效。
