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서지반출
Anatomic Conformity of New Periarticular Locking Plates for Koreans: A Biomechanical Cadaveric Study
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  • Anatomic Conformity of New Periarticular Locking Plates for Koreans: A Biomechanical Cadaveric Study
  • Anatomic Conformity of New Periarticular Locking Plates for Koreans: A Biomechanical Cadaveric Study
저자명
윤용철,오종건,김영우,김학준,문홍주,김남렬,Yoon. Yong-Cheol,Oh. Jong-Keon,Kim. Young-Woo,Kim. Hak Jun,Moon. Hong Joo,Kim. Nam-Ryeol
간행물명
大韓外傷學會誌
권/호정보
2013년|26권 3호|pp.163-169 (7 pages)
발행정보
대한외상학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: This study was conducted to confirm the anatomic conformity of the new periarticular locking plates designed by Zimmer on Korean adult bones and to identify the structures at risk during the application of these implants. Methods: The study was performed on the humerus, radius, and tibia of 10 adult cadavers(6 males and 4 females) procured from the cadaveric lab of our hospital. Anteroposterior (AP) and lateral X-rays were taken to confirm that the cadavers were free of any unusual lesions or anatomic variations. We used the 3.5-mm proximal humerus plate, 2.7-mm distal radius plate, 3.5- and 5.0-mm proximal tibia plates, and 3.5-mm distal tibia plate developed by Zimmer, Inc. (Zimmer periarticular locking plate). The longest plate from each group was used to confirm anatomical conformity. Standard approaches were used for each area, and soft tissue was retracted in order to pass the plate beneath the muscle. The position of the plate was confirmed using standard AP and lateral view X-rays. After this procedure had been completed, the region was dissected along the length of the implant to determine the conformity of the implant to bone and the penetrations of screws into the articular surface or violations of any vital structures, such as nerves, blood vessels, or tendons. Results: Excellent anatomical conformity was observed with Zimmer periarticular locking plates for Korean adults. The tibial nerve and the posterior tibial artery were found to be structures at risk when applying a distal tibial plate. Conclusion: Additional posterolateral fixation is recommended when dealing with cases of tibial plateau fracture when the fracture line extends to the posterolateral cortex. We recommend taking proper views using 10~15 degrees of internal rotation to ensure correct screw length and, thus, avoid penetration of vital structures and tendons.