Jupiter J B, Wyss H
Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, USA.
Acta Chir Orthop Traumatol Cech. 2010 Oct;77(5):361-4.
I have had a wonderful opportunity over the past 30 years to surgically reconstruct many complex fractures and non- unions in the upper limb in the elderly patient with underlying osteoporosis and prior to the development of the "locked plate". This article will present a number of specific techniques using standard LC-DCP and screw in a variety of applications to provide stable internal fixation. These include the use of long plates; creating a "waved plate" initially described by Blatter and Weber; double plating; 3.5 mm intramedullary plate combined with a larger plate on the cortex; custom and machi- ned blade plates as well as enhancement of screw fixation with bone cement and/ or Norian SRS cement.
在过去30年里，我有绝佳的机会为患有潜在骨质疏松症且在“锁定钢板”出现之前的老年患者进行上肢许多复杂骨折和骨不连的外科重建手术。本文将介绍一些使用标准LC-DCP和螺钉的特定技术，这些技术可用于多种应用场景，以提供稳定的内固定。这些技术包括使用长钢板；制作最初由布拉特和韦伯描述的“波浪形钢板”；双钢板固定；3.5毫米髓内钢板与皮质上较大的钢板联合使用；定制和加工的刀片式钢板，以及用骨水泥和/或诺瑞安SRS骨水泥增强螺钉固定。
