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Abstract
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.
Keywords
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© 1997 Published by Elsevier Inc.