辛迪斯钢板的发展.ppt

第一块钢板报道来源于1886年德国汉斯曼，材料是镍、铜、锡合金构成的“德国银”。、 1949年罗伯特-丹尼斯出版了一本书，他的观点是骨折需要被坚强固定以允许早期功能恢复，并设计了能够加压的coapteur钢板。 AO以不锈钢钢板开始发展，因为在50年代时还没有钛合金材料。最早的钢板只有圆形钉孔，限制了钢板的应用。 我们现在使用的钢板要比早期的钢板更出色。下面我们将介绍技术的发展和进步。 圆孔钢板之后出现的是动力加压钢板，称为DCP钢板。 现在DCP钢板在亚洲还仍然在使用。例如印度，菲律宾，和一些第三世界国家，如越南 理解DCP钢板的原理和他与新钢板的不同有重要意义。 1985年有限接触动力加压钢板(LC-DCP)产生, 意思是钢板和骨表面之间是有限的接触面积. 1993年LISS板产生，这是真正由辛迪斯发明的第一块创伤锁定钢板，第一块使用锁定螺钉技术的钢板。 2003年LCP概念出现，锁定加压钢板，也就是大家熟悉的LCP，具有可以植入锁定螺钉和传统皮质螺钉的结合孔 The first plates reported in 1886 were used by Hansmann in Germany- made from German ‘silver’ which was an alloy of nickel, copper and tin 1949 Robert Danis published a book on Osteosynthesis, his thesis was that fracture should be fixed rigidly in order to permit early functional rehabilitation-devised the coapteur –plate device that permits compression AO started with Stainless steel plates, no Ti in the 50’s, the first plates only had round holes - limited applications Plates we have now are much more versatile than these earlier ones, we’ll talk about the progression and the advancement of the technology The plate that followed the round hole plate was the Dynamic compression plate commonly know as the DCP plate Still some DCP plates used in the Asian markets: India, Philippines and some 3rd world countries eg Vietnam Makes sense that you understand what a DCP plate is and the difference between it and the newer plate Then in 1985 the LC DCP plate was introduced stands for limited contact dynamic compression plate meaning plate has limited contact with the surface of the bone 1993 the LISS plate was introduced which was really the first trauma locking plate that Synthes introduced, first plate with locking screw technology 2003 the LCP concept was introduced, the locking compression plate, as you all know the LCP has combi holes which can accept locking screws or conventional cortex screws 用香蕉表示，骨表面就像香蕉，而香蕉皮是软组织。 强调外科医师需要考虑软组织，血供和骨的生物学。 以前的教学是在局部放置尽可能多的金属内植物，认为金属越多，结构越稳定，而骨折愈合越快。 几年后意识到剥离骨膜的血液供应，取出软组织，植入大型钢板，和所用孔都植入螺钉