锁定加胗压钢板原理及临床应用.doc

SUMMARY 摘要 The principle of the locking compression plate (LCP) is represented by the combination of two completely different anchorage technologies and two opposed principles of osteosynthesis in one implant it combines the principles of conventional plate osteosynthesis for direct anatomical reduction with those of bridging plate osteosynthesis. Since the LCP can be used as a conventional plate using only dynamic compression, as a pure internal fixator using locking head screws,or as both combined, it provides the surgeon with multiple variations. Nevertheless, these new possibilities mean that preoperative planning and an understanding of the different biomechanical principles of osteosynthesis are essential if good clinical outcomes are to be achieved and maximum benefit is to be attained from the options offered by the LCP system. 锁定加压钢板为两种完全不同的固定技术的结合，该内植物包含两种相反的接骨术原理，即以直接解剖复位为特点的传统钢板接骨术和桥接钢板接骨术。LCP既可仅当作动力加压钢板使用，亦可通过锁定螺钉而进作为内支架使用，或是上两种方式的联合，这为外科医师提供多种选择。然而，这些新的可能性亦即意味着，若要想获得LCP系统带来的最大价值及好的临床结果，则必须理解不同的生物力学接骨术原理及做好术前准备。 The current article provides biomechanical background to and guidelines for the use of LC plates in the operative treatment of fractures and also reports experimental and clinical results obtained with LCP。 本文既提供骨折手术治疗时LCP使用的生物力学背景及指南，亦报告应用LCP获得的实验及临床结果。 INTRODUCTION 引言Since the first instance of internal fixation with a plate(carried out by Hansmann in Hamburg in 1886 (8) and the later integration of this principle into operative fracture treatment as a result of Lambotte’s work, both the implants used and the related principles of fracture treatment have been in a state of continuous development. 自第一例应用钢板内固定治疗（1886年，Hansmann在Hamburg实施）及其后 Lambotte将这些整理为骨折手术治疗的原则以来，内植物及骨折治疗的相关原则正持续发展。 While in the early years of internal fixation with plates various principles were pursued in parallel, the standardization of the indications for and techniques of internal fixation with compression plates by the Swiss Association for the Study of Internal Fixatio