Oestern H J, Gänsslen A
Klinik für Unfallchirurgie, Orthopädie und Neurotraumatologie, Allgemeines Krankenhaus Celle, Siemensplatz 4, 29223, Celle, Deutschland.
Orthopade. 2010 Feb;39(2):160-70. doi: 10.1007/s00132-009-1521-8.
Osteosynthesis in fracture treatment and in some reconstructive procedures with blade plates or dynamic screw systems was the standard procedure for several decades. In this review, the current options and concepts using blade plate osteosynthesis, stabilization of proximal and distal femur fractures and reconstructive procedures with the dynamic hip screw or the dynamic condylar blade are discussed. On the basis of a literature review, the present indications, results and region-specific complications are reported and discussed.Blade plates are used mainly in the context of reconstructive procedures, as well as in the treatment of pseudoarthroses. The Pauwel procedure in femoral neck non-unions is one of the best known indications. In contrast, the dynamic hip screw is the gold standard for stabilization of femoral neck and most pertrochanteric fractures, whereas the dynamic condylar screw is still an alternative to internal fixators for proximal and distal femoral fracture fixations.
在骨折治疗以及一些使用接骨板或动力螺钉系统的重建手术中，骨固定术几十年来一直是标准术式。在本综述中，我们讨论了使用接骨板骨固定术、股骨近端和远端骨折的固定以及使用动力髋螺钉或动力髁接骨板进行重建手术的当前选择和理念。基于文献综述，报告并讨论了目前的适应症、结果和特定区域的并发症。接骨板主要用于重建手术以及假关节的治疗。股骨颈不愈合的 Pauwel 手术是最著名的适应症之一。相比之下，动力髋螺钉是股骨颈和大多数转子周围骨折固定的金标准，而动力髁螺钉仍然是股骨近端和远端骨折内固定的一种替代方法。
