caa a22 4500 465733433 CHVBK 20180323111747.0 cr unu---uuuuu 170327e19901101xx s 000 0 eng 10.1007/BF00636171 doi (NATIONALLICENCE)springer-10.1007/BF00636171 Wave plate osteosynthesis as a salvage procedure [Elektronische Daten] [G. Blatter, B. Weber] Summary: The load axis of the curved proximal femur lies not inside but outside the bone. Therefore, high bending forces are acting, the medial cortex absorbing pressure and the lateral cortex absorbs tension. In a transverse fracture, a laterally applied plate will absorb the tensile stresses and the medial cortex, the pressure forces. When the medial buttress due to a bony defect is missing, the laterally applied plate is subjected to cyclic bending and will undergo fatigue fracture. This dilemma is compensated by a wave plate with bone graft: the compression forces are redirected to the lateral cortex, and the plate is again subjected to tension. Furthermore, since the plate stands away from the bone, it does not disturb the blood supply at the fracture site and thus bone healing. Springer-Verlag, 1990 Blatter G. Department of Orthopedic Surgery, Kantonsspital, CH-9007, St. Gallen, Switzerland aut Weber B. Department of Orthopedic Surgery, Kantonsspital, CH-9007, St. Gallen, Switzerland aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 109/6(1990-11-01), 330-333 0936-8051 109:6<330 1990 109 402 https://doi.org/10.1007/BF00636171 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00636171 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Blatter G. Department of Orthopedic Surgery, Kantonsspital, CH-9007, St. Gallen, Switzerland aut NATIONALLICENCE 700 1- Weber B. Department of Orthopedic Surgery, Kantonsspital, CH-9007, St. Gallen, Switzerland aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 109/6(1990-11-01), 330-333 0936-8051 109:6<330 1990 109 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer