Department of Orthopaedic Trauma, Harris Methodist Fort Worth Hospital and John Peter Smith Orthopaedic Surgery Residency Program, Fort Worth, TX 76104, USA.
J Orthop Trauma. 2011 Nov;25(11):695-706. doi: 10.1097/BOT.0b013e31821d7a56.
Despite design features intended to aid the surgeon in restoring proper alignment, malunion and implant-related problems are relatively common after a distal femur fracture treated with plate fixation. This article presents case examples of these problems followed by a discussion of the relevant distal femoral anatomy, design features of modern locked distal femur plating systems, and technical points necessary to avoid malunion and implant-related problems when using these devices.
尽管设计特点旨在帮助外科医生恢复正确的对线，但使用钢板固定治疗股骨远端骨折后，仍然会出现愈合不良和与植入物相关的问题。本文通过病例举例介绍了这些问题，随后讨论了相关的股骨远端解剖结构、现代锁定股骨远端钢板系统的设计特点，以及使用这些器械时避免愈合不良和与植入物相关问题所需的技术要点。
