Bonyun Marissa, Nauth Aaron, Egol Kenneth A, Gardner Michael J, Kregor Philip J, McKee Michael D, Wolinsky Philip R, Schemitsch Emil H
*Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; †Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada; ‡Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, NY; §Department of Orthopaedics, Washington University School of Medicine, St Louis, MO; ‖The Hughston Clinic, Columbus, GA; and ¶Department of Orthopaedic Surgery, University of California, Davis School of Medicine, Sacramento, CA.
J Orthop Trauma. 2014;28 Suppl 1:S32-5. doi: 10.1097/BOT.0000000000000072.
The evolution of locking plates and modern nail constructs provides the orthopaedic trauma surgeon with a myriad of options with regard to implant selection for common fractures. There is a significant amount of biomechanical literature comparing modern constructs with those conventionally used. A basic understanding of this literature is required to make informed decisions with regard to implant selection in the management of these injuries. This article reviews the most recent biomechanical literature regarding implant selection and application for a variety of commonly treated injuries, including fractures of the clavicle, proximal humerus, distal humerus, intertrochanteric hip region, distal femur, and bicondylar tibial plateau.
锁定钢板和现代髓内钉结构的发展为骨科创伤外科医生在选择常见骨折的植入物时提供了众多选择。有大量生物力学文献将现代结构与传统使用的结构进行了比较。要在这些损伤的治疗中就植入物选择做出明智的决定,就需要对这些文献有基本的了解。本文回顾了关于各种常见治疗损伤(包括锁骨、肱骨近端、肱骨远端、股骨转子间区域、股骨远端和双髁胫骨平台骨折)的植入物选择和应用的最新生物力学文献。