Martineau Paul A, Berry Gregory K, Harvey Edward J
University of Washington, Seattle, WA 98195, USA.
Hand Clin. 2010 Feb;26(1):61-9. doi: 10.1016/j.hcl.2009.08.002.
No area of fracture management has had such a recent explosion of new treatment modalities as distal radius plating. This explosion has largely been implant- and industry-driven, with little evidence-based research guiding the way. A perceived difficulty with commonly used modalities by the orthopedic community has been enough to drive an entire new set of options for distal radius fixation. A drift from dorsal to volar plating has occurred that has been unexamined by randomized research. Segment specific fixation has been a new mindset that has resulted in a novel plate line and has caused other manufacturers to redesign their product lines. Other novel approaches for proposed problems include locking plates, nail-plate combinations, and others. This article outlines some of these options with a literature opinion and a clarification from the authors. A treatment plan for common fractures of the distal radius is also outlined.
在骨折治疗领域，没有哪个领域像桡骨远端钢板固定术那样，近期出现了如此众多新的治疗方式。这种爆发式发展在很大程度上是由植入物和行业驱动的，几乎没有循证研究作为指导。骨科界认为常用治疗方式存在的困难足以推动一套全新的桡骨远端固定选择方案的出现。从背侧钢板固定到掌侧钢板固定的转变尚未经过随机研究的检验。节段特异性固定是一种新的理念，它催生了一种新型钢板系列，并促使其他制造商重新设计其产品线。针对特定问题的其他新颖方法包括锁定钢板、钉板组合等。本文结合文献观点和作者的阐释，概述了其中一些选择方案。还概述了桡骨远端常见骨折的治疗计划。
