Review Article History and Recent Developments in Internal Plate Fixation of Fractures
Internal plate fixation of fractures
Keywords:
Bimetals, bone fracture, bone plates, internal fixationAbstract
Since more than a century ago, metal plates have been utilized to internally treat fractures. Even while early issues like corrosion
and insufficient strength have been fixed, more contemporary designs still have some issues. To create a plate that speeds up
fracture healing without affecting bone physiology, more study is required. The biggest change to plate-fixation of fractures
came with the invention of rigid plates. However, after the plate was removed, it caused cortical porosis, delayed bridging, and
refractures. These unintended consequences were allegedly brought on by bone-plate contact obstructing cortical perfusion.
Further plate improvements, therefore, sought to prevent necrosis and eventual porosis by reducing this contact area. The
biggest change to plate-fixation of fractures came with the invention of rigid plates. However, after the plate was removed, it
caused cortical porosis, delayed bridging, and refractures. These unintended consequences were allegedly brought on by boneplate
contact obstructing cortical perfusion. Further plate improvements, therefore, sought to prevent necrosis and eventual
porosis by reducing this contact area. The treatment of bone fractures, particularly refractory fractures, should be improved by
further advancements in bio metals and their design for orthopedic bone plates
References
REFERENCES
Uhthoff HK, Poitras P, Backman DS. Internal plate fixation of
fractures: Short history and recent developments. J Orthop Sci
;11:118-26.
Kregor PJ, Senft D, Parvin D, Campbell C, Toomey S, Parker C,
et al. Cortical bone perfusion in plated fractured sheep tibiae.
J Orthop Res 1995;13:715-24.
Simon JA, Ricci JL, Di Cesare PE. Bioresorbable fracture
fixation in orthopedics: A comprehensive review. Part I. Basic
science and preclinical studies. Am J Orthop (Belle Mead NJ)
;26:665-71.
Perren SM, Regazzoni P, Fernandez AA. Biomechanical and
biological aspects of defect treatment in fractures using helical
plates. Acta Chir Orthop Traumatol Cech 2014;81:267-71.
Rouf S, Malik A, Raina A, Ul Haq MI, Naveed N, Zolfagharian A,
et al. Functionally graded additive manufacturing for
orthopedic applications. J Orthop 2022;33:70-80.
Cimerman M, Kristan A, Jug M, Tomaževič M. Fractures
of the acetabulum: From yesterday to tomorrow. Int Orthop
;45:1057-64.
Augat P, von Rüden C. Evolution of fracture treatment with
bone plates. Injury 2018;49 Suppl 1:S2-7.
Schmal H, Strohm PC, Jaeger M, Südkamp NP. Flexible
fixation and fracture healing: Do locked plating “internal
fixators” resemble external fixators? J Orthop Trauma
;25 Suppl 1:S15-20.
Greiwe RM, Archdeacon MT. Locking plate technology:
Current concepts. J Knee Surg 2007;20:50-5.
Stoffel K, Dieter U, Stachowiak G, Gächter A, Kuster MS.
Biomechanical testing of the LCP--how can stability in locked
internal fixators be controlled? Injury 2003;34 Suppl 2:B11-9.
Beltran MJ, Collinge CA, Gardner MJ. Stress modulation of
fracture fixation implants. J Am Acad Orthop Surg 2016;24:711-9.
Wagner M. General principles for the clinical use of the LCP.
Injury 2003;34 Suppl 2:B31-42.
Tian L, Tang N, Ngai T, Wu C, Ruan Y, Huang L, et al.
Hybrid fracture fixation systems developed for orthopaedic
applications: A general review. J Orthop Translat 2018;16:1-13.
Luo Y, Wang J, Ong MT, Yung PS, Wang J, Qin L, et al.
Update on the research and development of magnesiumbased
biodegradable implants and their clinical translation in
orthopaedics. Biomater Transl 2021;2:188-96
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