title: [Relevance and advantages of new angular stable screw-plate systems for diaphyseal fractures (locking compression plate versus intramedullary nail].
abstract: Intramedullary nailing still remains the golden standard for the treatment of diaphyseal fractures of the long bones in adults. The operative technique is standardised and usually minimal invasive, the primary healing rate is high, and complications arise rarely. However, for problem zones (meta-diaphyseal region), in poor bone quality and in other relative contraindications for nailing (narrow medullary canal, fractures in adolescents and polytrauma) the new angular stable screw-plate-systems (LISS, LCP) offer an excellent alternative for the operative stabilisation. The high primary stability in combination with newly developed minimal-invasive techniques (MIPO = minimal invasive plate osteosynthesis) are the bases for a functional after treatment and a rapid bony consolidation with a low complication rate.
authors.affiliation: Department Chirurgie, Rätisches Kantons- und Regionalspital, Chur. christoph.sommer@ksc.gr.ch
authors.forename: Ch
authors.initials: Ch
authors.lastname: Sommer
authors.forename: E
authors.initials: E
authors.lastname: Gautier
mesh_terms: D000293:Adolescent; D000328:Adult; D001696:Biomechanical Phenomena; D001860:Bone Plates; D001863:Bone Screws; D000075202:Contraindications; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D010024:Osteoporosis / Q000150:complications; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000209:etiology; D012307:Risk Factors; D017695:Soft Tissue Injuries / Q000150:complications; D013978:Tibial Fractures / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome