Department of Orthopaedics, NYU Hospital for Joint Diseases, New York, NY, USA.
J Orthop Trauma. 2011 Jun;25 Suppl 2:S56-60. doi: 10.1097/BOT.0b013e31821b8a52.
The use of locking technology has expanded significantly over the last decade. This technology has led to improvements in implant design for fixation in osteoporotic bone and allowed more secure and stable constructs. Locking plates and screws have been helpful in surgical repair of metaphyseal fractures and those with significant comminution and in the elderly. Biomechanically, creating a fixed-angle design leads to stronger constructs and potentially decreases failure rates. The use of this technology must be tempered by awareness of the complications associated with both the technique and implants.
在过去的十年中,锁定技术的使用有了显著的扩展。这项技术提高了在骨质疏松性骨中固定的植入物设计,并允许更安全和稳定的结构。锁定板和螺钉有助于治疗干骺端骨折和粉碎性骨折,以及老年人骨折。从生物力学角度来看,创建固定角度设计会导致更坚固的结构,并可能降低失败率。使用这项技术必须注意到与技术和植入物相关的并发症。