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Biomechanics of Osteosynthesis by Screwed Plates

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Biomechanics and Biomaterials in Orthopedics

Abstract

Within the last two decades new thinking of operative fracture treatment using plates has been established. Using plates for internal fixation the advantages of operative and conservative treatment have to be combined: proper alignment of the injured bone segment and sufficient stability of fixation allowing functional aftercare and an undisturbed natural course of bone healing. Thus, in shaft fractures, the exact reduction of each bone fragment is no longer a goal in itself. Rather, the overall restoration of length, axial alignment, and rotation are the goals. Plate osteosynthesis keeps its important and well-established place in the treatment of certain fractures. Classical indications for an osteosynthesis using plates or internal fixators are articular fractures, metaphyseal fractures, and some diaphyseal fractures, such as forearm fractures, diaphyseal fractures with associated articular fractures, diaphyseal fractures in polyfractured or polytraumatized patients, narrow medullary canal not suitable for intramedullary rodding, and some diaphyseal fractures in children.

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  1. Department of Orthopaedic Surgery and Traumatology, HFR – Cantonal Hospital Fribourg, Fribourg, Switzerland

    Emanuel Gautier MD

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  1. Hôpital Nord, Aix-Marseille Université, Marseille CX 20, France

    Dominique G. Poitout

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Gautier, E. (2016). Biomechanics of Osteosynthesis by Screwed Plates. In: Poitout, D. (eds) Biomechanics and Biomaterials in Orthopedics. Springer, London. https://doi.org/10.1007/978-1-84882-664-9_29

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