Research Article| Volume 28, SUPPLEMENT 1, A3-A6, 1997

The evolution of modern plate osteosynthesis

  • T. Miclau
    Address for correspondence: Theodore Miclau, M.D., University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco General Hospital, 1001 Potrero Avenue, 3A36, San Francisco, CA 94110, Tel.: (415) 206-8812, Fax: (415) 647-3733.
    University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco General Hospital, 1001 Potrero Avenue, 3A36, San Francisco, CA 94110, USA
    Search for articles by this author
  • R.E. Martin
    University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco General Hospital, 1001 Potrero Avenue, 3A36, San Francisco, CA 94110, USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.


      Plate osteosynthesis is still recognized as the treatment of choice for most articular fractures, many metaphyseal fractures, and certain diaphyseal fractures such as in the forearm. Since the 1960s, both the techniques and implants used for internal fixation with plates have evolved to provide for improved healing. Most recently, plating methods have focused on the principles of ‘biological fixation’. These methods attempt to preserve the blood supply to improve the rate of fracture healing, decrease the need for bone grafting, and decrease the incidence of infection and re-fracture. The purpose of this article is to provide a brief overview of the history of plate osteosynthesis as it relates to the development of the latest minimally invasive surgical techniques.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Colton C.L.
        The history of fracture treatment.
        in: Browner B.D. Jupiter J.B. Levine A.M. Trafton P.G. Skeletal Trauma. W.B. Saunders Company, Philadelphia1992: 3-30
        • Schatzker J.
        Osteosynthesis in trauma.
        International Orthop. 1996; 20: 244-252
        • Lambotte A.
        Clin. Orthop. 1987; 214 (translated by Peltier LF): 4-6
        • Danis R.
        Théorie et pratique de l'ostéosynthése.
        Masson, Paris1949
        • Bagby G.W.
        • Janes J.M.
        An impacting bone plate.
        Staff meeting: Mayo Clinic. 1957; 32: 55-57
        • Perren S.M.
        The concept of biological plating using the limited contact-dynamic compression plate (LC-DCP). Scientific background, design and application.
        Injury. 1991; (Suppl.): 1-41
        • Müller M.E.
        • Allgöwer M.
        • Schneider R.
        • Willenegger H.
        3rd Ed. Manual of Internal Fixation. Springer-Verlag, Berlin1991
        • Müller M.E.
        • Allgöwer M.
        • Willenegger H.
        Technik der operativen Frakturenbehandlung.
        Springer, Berlin1963
        • Perren S.M.
        • Russenberger M.
        • Steinemann S.
        • Müller M.E.
        • Allgöwer M.
        A dynamic compression plate.
        Acta Orthop. Scand. 1969; : 31-41
        • Allgöwer M.
        • Ehrsam R.
        • Ganz R.
        • Matter P.
        • Perren S.M.
        Clinical experience with a new compression plate ‘DCP’.
        Acta Orthop. Scand. 1969; : 45-63
        • Mittelmeier H.
        Prinzipien der Osteosynthese mit selbstspannenden Platten.
        Med. Orthop. Technik. 1974; 4: 90-99
        • Tepic S.
        • Perren S.M.
        The biomechanics of the PC-Fix internal fixator.
        in: Perren S.M. Point Contact Fixator: Part 1. 3rd ed. Injury. 26. 1995: 5-10 (Suppl. 2)
        • Brunner C.F.
        • Weber B.G.
        Besondere Osteosynthesetechniken.
        Springer, Berlin Heidelberg New York1981
        • Heitemeyer U.
        • Hierholzer G.
        Die überbrückende Osteosynthese bei geschlossenen Stückfrakturen des Femurschaftes.
        Akt. Traumatol. 1985; 15: 205-209
        • Chapman M.W.
        • Gordon J.E.
        • Zissimos A.G.
        Compressionplate fixation of acute fractures of the diaphyses of the radius and ulna.
        J. Bone Joint Surg. (Am.). 1989; 71: 159-169
        • Perren S.M.
        • Cordey J.
        • Rahn B.A.
        • Gautier E.
        • Schneider E.
        Early temporary porosis of bone induced by internal fixation implants - A reaction to necrosis, not to stress protection.
        Clin. Orthop. 1988; 232: 139-151
        • Perren S.M.
        • Klaue K.
        • Pohler O.
        • Predieri M.
        • Steinemann S.
        • Gautier E.
        The limited contact dynamic compression plate (LC-DCP).
        Arch. Orthop. Trauma Surg. 1990; 109: 304-310
        • Remiger A.R.
        • Predieri M.
        • Tepic S.
        • et al.
        Internal fixation using the point contact plate — an in vivo study in sheep.
        Orthop. Trans. 1994; 18 (abstract): 13-14
        • Tepic S.
        • Remiger A.R.
        • Morikawa K.
        • Predieri M.
        • Perren S.M.
        Strength recovery in fractured sheep tibia treated with a plate or an internal fixator: An experimental study with a two year follow-up.
        J. Orthop. Trauma. 1997; 11: 14-24
        • Gerber C.
        • Mast J.W.
        • Ganz R.
        Biological internal fixation of fractures.
        Arch. Orthop. Trauma Surg. 1990; 109: 295-303
        • Mast J.
        • Jakob R.
        • Ganz R.
        Planning and reduction technique in fracture surgery.
        Springer, Berlin Heidelberg New York1989
        • Johnson E.E.
        Combined direct and indirect reduction of comminuted four-part intraarticular T-Type fractures of the distal femur.
        Clin. Orthop. 1988; 231: 154-162
        • Kinast C.
        • Bolhofner B.R.
        • Mast J.W.
        • Ganz R.
        Subtrochanteric fractures of the femur. Results of treatment with the 95° condylar blade plate.
        Clin. Orthop. 1989; 238: 122-130
        • Baumgaertel F.
        • Perren S.M.
        • Rahn B.
        • Gotzen L.
        Operative treatment of experimental communited subtrochanteric femur fractures in sheep — clinical relevance.
        J. Trauma. 1993; 7: 160-163
        • Baumgaertel F.
        • Gotzen L.
        Die biologische Plattenosteosynthese bei Mehrfragmentfrakturen des gelenknahen Femurs. Eine prospektive Studie.
        Unfallchirug. 1994; 97: 78-84
        • Wenda L.
        • Degreif K.
        • Runkel M.
        • Ritter G.
        Zur Technik der Plattenosteosyntheses des Femurs.
        Unfallchirug. 1994; 97: 13-18
        • Ostrum R.F.
        • Geel C.
        Indirect reduction and internal fixation of supracondylar femur fractures without bone graft.
        J. Orthop. Trauma. 1995; 9: 278-284
        • Krettek C.
        • Schandelmaier P.
        • Tscherne H.
        Distale Femurfrakturen. Transartikuldre Rekonstruktion, percutane Plattenosteosynthese and retrograde Nagelung.
        Unfallchirug. 1996; 99: 2-10