Tiến sĩ Cantu là Phó giáo sư, phẫu thuật chỉnh hình, DartmouthHitchcock Trung tâm y tế, Lebanon, NH. Tiến sĩ Koval là Giáo sư, phẫu thuật chỉnh hình, Trung tâm y khoa Dartmouth-Hitchcock. Không ai trong số các tác giả sau đây hoặc các phòng ban mà họ là chi nhánh nhận được bất cứ thứ gì có giá trị từ, | Surgical Techniques The Use of Locking Plates in Fracture Care Robert V. Cantu MD Kenneth J. Koval MD The video that accompanies this article is The Use of Lock- JAAOS I. ing Plates in Fracture Care available on the Orthopaedic Knowledge Online Website at http oko jaaos Dr. Cantu is Assistant Professor Orthopaedic Surgery DartmouthHitchcock Medical Center Lebanon NH. Dr. Koval is Professor Orthopaedic Surgery Dartmouth-Hitchcock Medical Center. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Cantu and Dr. Koval. Reprint requests Dr. Cantu DartmouthHitchcock Medical Center One Medical Center Drive Lebanon NH 03756. J Am Acad Orthop Surg 2006 14 183-190 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Since the advent of surgical fracture care orthopaedic surgery has seen many great advances. The invention of intramedullary nailing by Kuntscher in the 1940s marked the beginning of a new approach to the treatment of long bone fractures. The circular external fixator developed by Ilizarov in the 1950s added greatly to fracture care and limb lengthening. The dynamic compression plate developed by Perren allowed for rigid fixation of both extra- and intra-articular fractures permitting early joint motion and return of function. The concept of rigid and anatomic fracture reduction became the goal for many surgeons. This approach however sometimes sacrificed the biology of the fracture and failed to protect the blood supply of the bone in an effort to precisely reduce and fix each fracture 2 The technique of locked plating developed in Davos Switzerland in the 1990s 1 has been described as a revolution in fracture Locked plating refers to the fact that the screw heads are threaded and when tightened lock into threads in the plate.
