Arealis Georgios, Nikolaou Vassilios S, Lacon Andrew, Ashwood Neil, Hamlet Mark
Orthopedic Department, Queen's Hospital, Belvedere Road, Burton upon Trent, Staffordshire DE13 0RB, UK.
2nd Department of Orthopaedics, School of Medicine, Athens University, Greece.
ISRN Orthop. 2014 Mar 11;2014:367490. doi: 10.1155/2014/367490. eCollection 2014.
Purpose. The purpose of this paper is to present our technique for the treatment of periplate fractures. Methods. From 2009 to 2012 we treated three patients. In all cases the existing plate was left and the new one placed over the existing. Locking screws were placed through both plates. The other screws in the new plate were used as best suited the fracture. Results. In all cases less than 6 months had passed between fractures. None of the original fractures had healed. Mean followup was 2 years. All fractures proceeded to union within 7 months. No complications were recorded. All the patients returned to their normal activities and were satisfied with the results of their treatment. Conclusion. Our plate on plate technique is effective for the treatment of periplate fractures. A solid fusion can be achieved at the new fracture site without disturbing the previous fixation.
目的。本文旨在介绍我们治疗钢板周围骨折的技术。方法。2009年至2012年期间，我们治疗了3例患者。所有病例均保留原有的钢板，并在其上放置新的钢板。通过两块钢板拧入锁定螺钉。新钢板上的其他螺钉根据骨折情况选择最适合的方式使用。结果。所有病例两次骨折之间的时间间隔均不到6个月。原骨折均未愈合。平均随访2年。所有骨折均在7个月内愈合。未记录到并发症。所有患者均恢复正常活动，对治疗结果满意。结论。我们的钢板叠加技术治疗钢板周围骨折有效。在不干扰先前固定的情况下，新骨折部位可实现牢固融合。
