Uhthoff H K, Finnegan M A
Arch Orthop Trauma Surg (1978). 1984;102(3):163-6. doi: 10.1007/BF00575226.
The optimal degree of rigidity of internal fixation of fractures is still a matter of controversy. Since any attempt to clarify this situation must rest on a clear terminology, we propose terms relating to different degrees of rigidity. They are based on the material and the design of implants as well as the morphologic features of repair. From our morphologic findings it is obvious that the healing response and the subsequent structural remodelling depend on bone deformation and gap motion.
For sound patient care, the most ideal mode of internal fixation by plates, yielding rapid and efficient fracture healing, has to be established scientifically in a comparative study.
骨折内固定的最佳刚度程度仍存在争议。由于任何澄清这种情况的尝试都必须基于清晰的术语,我们提出了与不同刚度程度相关的术语。它们基于植入物的材料、设计以及修复的形态学特征。从我们的形态学研究结果来看,愈合反应及随后的结构重塑显然取决于骨变形和间隙运动。
为了提供良好的患者护理,必须通过比较研究科学地确立钢板内固定最理想的方式,以实现快速有效的骨折愈合。