Ao Association Osteosynthesis

Ao Association Osteosynthesis-15
angular-stable double plate system Z Orthop Unfall 2010 ; 148 : 300-308 [cross-ref.The introduction of angular-stable implants revolutionized the operative treatment of many fractures at different anatomic sites, particularly in situations with multifragmentary and osteopenic fractures. || angular-stable double plate system Z Orthop Unfall 2010 ; 148 : 300-308 [cross-ref]].The introduction of angular-stable implants revolutionized the operative treatment of many fractures at different anatomic sites, particularly in situations with multifragmentary and osteopenic fractures. ]]

angular-stable double plate system Z Orthop Unfall 2010 ; 148 : 300-308 [cross-ref.The introduction of angular-stable implants revolutionized the operative treatment of many fractures at different anatomic sites, particularly in situations with multifragmentary and osteopenic fractures. || angular-stable double plate system Z Orthop Unfall 2010 ; 148 : 300-308 [cross-ref]].The introduction of angular-stable implants revolutionized the operative treatment of many fractures at different anatomic sites, particularly in situations with multifragmentary and osteopenic fractures. ]]

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Consequently, open reduction and internal fixation (ORIF) is accepted as the gold standard in the treatment of intra-articular distal humerus fractures.

It is well accepted, that plates should be placed at both columns in type C fractures.

Even though there is a lack of available evidence in support of locking plates, it is believed that their use may be advantageous in complex intra-articular fracture patterns.

This is particularly true in patients with limited bone quality [13].

Complications were classified as minor or major, and the postoperative and follow-up X-rays were analyzed.

Thirty-four fractures were considered stable to allow early physical therapy.With a mean MEPS of 85 points, 36 results (36/39 [92%]) were rated as excellent or good.The mean DASH was 22.5 points, and the ROM for extension-flexion was 105° (range, 50–145).Based on the trends observed between 1970 to 2007 in the 60-year-old and older female population in Finland, Palvanen et al.calculated the number of distal humeral fractures to be three-fold higher in 2030 than in 2007 [2Korner J., Diederichs G., Arzdorf M., and al.Excellent or good results could be achieved in the vast majority of patients, independent on having suffered a complication or not.Complication rates were remarkably high, emphasizing the difficulties associated with this rare type of fracture.].Using these implants, the stability of the osteosynthesis no longer relies on the friction between the underlying bone and the plate resulting from screw torque but rather uses a single-beam construct that converts shear stress into compressive stress [21Korner J., Lill H., Muller L. The LCP-concept in the operative treatment of distal humerus fractures – biological, biomechanical and surgical aspects Injury 2003 ; 34 (Suppl.2) : B20-B30 [cross-ref]Korner J., Diederichs G., Arzdorf M., and al.There is still controversy concerning the value and proper indications for the use of locking plate systems in the treatment course of distal humerus fractures.To date, there are no studies comparing conventional plate and angular-stable plate osteosynthesis.

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