【導(dǎo)讀】：設(shè)計(jì)者最早是用 DePuy 的跟骨鎖定鋼板超適應(yīng)癥使用固定粉碎性髕骨骨折，取得良好效果，但術(shù)中塑形較困難，基于此設(shè)計(jì)出冰晶形髕骨鎖定鋼板。
Saura-Sanchez reported about his good clinical results using the Locking Calcaneal Plate from DePuy Synthes in an off-label manner for comminuted patella fractures. His fixation concept was to place the calcaneal plate on the anterior surface of the reduced patella and to bend plate arms around the distal patella pole for the insertion of longitudinal locking screws from distal to proximal. In a subsequent step, the patella fracture could be fixed with locking screws from anterior to posterior. Although this fixation concept resulted in stable osteosynthesis, there were usability challenges: the plate required frequent cutting and cumbersome bending to adapt the flat plate to the shape of the patella. Furthermore, the intended bending directions could often not be achieved without cutting selected plate arms compromising construct strength. To address these issues Saura-Sanchez envisioned a dedicated, preformed anterior patella plate mimicking the structure of an ice crystal with well distributed locking hole options. I
設(shè)計(jì)者最早是用 DePuy 的跟骨鎖定鋼板超適應(yīng)癥使用固定粉碎性髕骨骨折，取得良好效果，但術(shù)中塑形較困難，基于此設(shè)計(jì)出冰晶形髕骨鎖定鋼板。
From a biomechanical perspective, anterior locked plating of both simple and complex patella fractures provides superior construct stability vs tension band wiring.從生物力學(xué)角度看，無論是簡(jiǎn)單髕骨骨折還是復(fù)雜骨折，髕前鎖定鋼板固定的結(jié)構(gòu)穩(wěn)定性優(yōu)于張力帶。
估計(jì)鎖定鋼板固定髕骨骨折將是一種不錯(cuò)的選擇。
Variable Angle Locking Patella Plating System
