title: [Design of distal radius volar locking plates : Anatomical, surgical and biomechanical aspects].
abstract: The operative treatment of unstable distal radius fractures primarily aims for the anatomical reduction of the joint while addressing accompanying injuries. Anatomical reduction, stable fixation and early functional movement of the joint are the three cornerstones of modern treatment concepts of distal radius fractures. Distal radius volar locking plates play a major role in the treatment and rehabilitation of the most commonly occurring fracture in humans. This article outlines the different principles in the current design of available distal radius volar locking plates. The biomechanical aspects, anatomical findings and clinical evaluation that have influenced current design features and trends in new developments of the latest plates are emphasized. This is an ongoing process that is supported through the investigation and feedback of clinical science.
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland. michael.wich@ukb.de.|Abteilung für Unfallchirurgie und Orthopädie, Achenbach Krankenhaus, Köpenicker Str. 29, 15711, Königs-Wusterhausen, Deutschland. michael.wich@ukb.de.
authors.forename: M
authors.initials: M
authors.lastname: Wich
authors.affiliation: Zimmer Biomet Institute Miami, Miami, FL, USA.
authors.forename: R
authors.initials: R
authors.lastname: Sixto
authors.affiliation: Klinik für Unfallchirurgie und Orthopädie, BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str. 7, 12683, Berlin, Deutschland.
authors.forename: N
authors.initials: N
authors.lastname: Spranger
mesh_terms: D001860:Bone Plates / Q000592:standards*; D001863:Bone Screws / Q000592:standards; D019245:Compressive Strength; D003198:Computer Simulation; D017076:Computer-Aided Design; D019544:Equipment Failure Analysis; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008954:Models, Biological; D011474:Prosthesis Design; D011885:Radius Fractures / Q000503:physiopathology* / Q000601:surgery*; D013314:Stress, Mechanical; D013718:Tensile Strength; D014954:Wrist Injuries / Q000503:physiopathology* / Q000601:surgery*
keywords: Biomechanics; Distal radius fracture; Distal radius locking plate; Implant design; Locking plate construction