Department of Orthopaedic Surgery, Konkuk University School of Medicine, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, Korea.
Arch Orthop Trauma Surg. 2010 Oct;130(10):1239-42. doi: 10.1007/s00402-009-1008-4. Epub 2009 Nov 21.
Fracture stabilization and reduction using temporary plates during intramedullary tibial nailing was introduced as a novel concept in fracture surgery by Benirschke et al. (Orthop Trans 18:1055-1056, 1995). The concept of temporary reduction using one-third tubular plates proved useful in aiding metaphyseal and periarticular fracture fixation also. However, planning the strategic location of final plate was the main limitation with this technique using one-third tubular plates. We used 2.0 mini plates as provisional reduction plates that solved the issue of planning and placement of plates. The main advantage of our technique is that the final definitive plate can be applied directly over the mini plates. Here, we will describe our technique using relevant fracture case in metaphyseal-periarticular location.
Benirschke 等人(Orthop Trans 18:1055-1056, 1995)在髓内钉治疗胫骨骨折时引入了使用临时钢板进行骨折稳定和复位的新概念。使用三分之一管状钢板进行临时复位的概念也被证明在辅助干骺端和关节周围骨折固定方面非常有用。然而,使用三分之一管状钢板的技术主要限制在于规划最终钢板的位置。我们使用 2.0 迷你钢板作为临时复位钢板,解决了钢板规划和放置的问题。我们技术的主要优势在于最终的确定性钢板可以直接应用于迷你钢板上。在这里,我们将通过干骺端-关节周围骨折的相关病例来描述我们的技术。