Loisel Francois, Kielwasser Hugo, Faivre Grégoire, Rondot Thomas, Rochet Séverin, Adam Antoine, Sergent Pauline, Leclerc Grégoire, Obert Laurent, Lepage Daniel
Department of Orthopedic, Trauma, Plastic and Reconstructive Surgery and Hand Clinic, University Hospital Besançon - Medical School CIC IT, 808 - Bd Fleming, 25033, Besançon, France.
Research Unit: Nano Médecine, University of Bourgogne - Franche Comté, Besançon, France.
Eur J Orthop Surg Traumatol. 2018 Dec;28(8):1537-1542. doi: 10.1007/s00590-018-2274-z. Epub 2018 Jul 12.
Internal fixation with volar locking plates has revolutionized the treatment of distal radius fractures. Manufacturers have introduced plate designs that closely follow the anatomy of the distal radius. However, use of volar plates has also led to the emergence of new types of complications. While the use of monoaxial or polyaxial locking screws and of minimally invasive techniques (arthroscopy, preservation of pronator quadratus) increases the cost of the surgical procedure, it results in a tangible benefit for patients, allowing them to move their wrist almost immediately after surgery and to quickly regain their autonomy. We reviewed the literature to analyze the level of proof.
掌侧锁定钢板内固定术彻底改变了桡骨远端骨折的治疗方式。制造商推出了紧密贴合桡骨远端解剖结构的钢板设计。然而，掌侧钢板的使用也导致了新型并发症的出现。虽然使用单轴或多轴锁定螺钉以及微创技术（关节镜检查、保留旋前方肌）会增加手术成本，但这给患者带来了切实的益处，使他们术后几乎能立即活动手腕并迅速恢复自主能力。我们回顾了相关文献以分析证据水平。
