Smith Wade R, Ziran Bruce H, Anglen Jeffrey O, Stahel Philip F
Denver Health Medical Center, University of Colorado, Denver, Colorado, USA.
Instr Course Lect. 2008;57:25-36.
Locking plates are fracture fixation devices that allow the insertion of fixed-angle/angular-stable screws or pegs and do not require friction between the plate and bone. The clinical care impetus for the development of these plates has been a combination of factors, including the increasing survival of patients with high-energy injuries, aging Western European and North American populations with an increasing rate of fragility fractures, and dissatisfaction of patients and surgeons with the outcomes of treatment of specific periarticular fractures. Nonclinical factors likely include a push by industry for new technology and new markets as well as the general interest of the public in "minimally invasive" surgery.
锁定钢板是一种骨折固定装置,可插入固定角度/角度稳定的螺钉或栓柱,且钢板与骨骼之间无需摩擦力。这些钢板研发的临床护理动力是多种因素的综合结果,包括高能损伤患者存活率的提高、西欧和北美人口老龄化导致脆性骨折发生率上升,以及患者和外科医生对特定关节周围骨折治疗结果的不满。非临床因素可能包括行业对新技术和新市场的推动,以及公众对“微创手术”的普遍兴趣。