Z Orthop Unfall
DOI: 10.1055/a-0862-6334
Review/Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Biomechanics of Upper Extremity Double Plating

Article in several languages: English | deutsch
Philipp A. Michel
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster
,
J. Christoph Katthagen
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster
,
Lukas F. Heilmann
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster
,
Felix Dyrna
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster
,
Benedikt Schliemann
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster
,
Michael J. Raschke
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster
› Author Affiliations
Further Information

Publication History

Publication Date:
08 May 2019 (eFirst)

Abstract

Double plating (DP) is an established treatment modality in traumatology. For certain indications, such as open reduction and internal fixation of bicondylar tibial plateau fractures and distal humeral fractures, DP is standard of care in the clinical routine. However, the principles of DP can be transferred to other anatomic regions and indications. In the past years, DP has been brought more and more into focus. For revision cases, such as the treatment of fracture non-unions, DP seems generally useful. In anatomical locations with high torsional stress and bending forces, but also in regions with traction forces by muscles and tendons DP provides multiplanar stability and therefore seems to have biomechanical advantages. Usually two smaller implants can replace one larger implant. Thus, the number of points of fixation can be increased, the stability can be improved and soft-tissue irritations by bulky implants can be minimized. Along with the established indication and application at the distal humerus, there is biomechanical evidence in the current literature for DP of clavicle fractures and humeral shaft fractures. Furthermore, DP provides mechanical advantages in the treatment of certain proximal humeral fractures and olecranon fractures. This review of the literature summarizes the published literature on biomechanics of upper extremity DP.