عملکرد پیچ و پلاک دست در درمان شکستگی استخوان

عملکرد پیچ و پلاک دست در درمان شکستگی استخوان

This article is evaluating biomechanical and clinical aspects of forearm (radius and ulna bones) fracture fixation using trauma plating systems (plate and screws). Various trauma plates and screws are used to treat the forearm fractures. According to the location, pattern, and severity of the fracture, biomechanical and clinical challenges of the plating fixation are different. The forearm healthy bones have mechanical strength against a variety of transferred loading conditions. In fact, forearm bones in conjunction with associated muscles and tendons could tolerate a considerable certain amount of compression, tension, bending, and torsion loading conditions. The limit of strength to tolerate the loading conditions is correlated with bone quality (bone mineral density) and level of muscle-tendons power (e.g., the athletes have more powerful muscles and tendons than normal people). This defines the biomechanical characteristics of the forearm bones that are not consistent among people. From the clinical point of view, the range of motion (ROM) at wrist and elbow joints is considered as clinical characteristics of the forearm bones with associated muscle-tendons. a