The Rothman Orthopaedic Institute, Thomas Jefferson University, Rothman Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.
The Rothman Orthopaedic Institute, Thomas Jefferson University, Rothman Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.
Hand Clin. 2021 May;37(2):259-266. doi: 10.1016/j.hcl.2021.02.008.
There are several options for plate fixation of distal radius fractures. Volar plating has broad applicability and consistent outcomes, and thus is the most commonly used plate type. Dorsal plates are advantageous for specific fracture patterns, and can provide direct fracture reduction and buttressing, but may be prominent and can cause tendon irritation. Bridge plates offer an alternative to external fixation while avoiding the complications with prominent hardware, because they span highly comminuted fractures and can be used for immediate weight bearing; however, they require plate removal. Choice of plate fixation should depend on fracture type, patient factors, and surgeon experience.
桡骨远端骨折有几种钢板固定的选择。掌侧钢板具有广泛的适用性和一致的结果，因此是最常用的钢板类型。背侧钢板对于特定的骨折类型有利，可以提供直接的骨折复位和支撑，但可能突出并引起肌腱刺激。桥接钢板提供了一种替代外固定的方法，同时避免了突出硬件的并发症，因为它们跨越高度粉碎性骨折，并可用于立即承重；然而，它们需要取出钢板。钢板固定的选择应取决于骨折类型、患者因素和外科医生的经验。
