Avoiding complication of volar locked plates

Avoiding complication of volar locked plates

Volar locking plates are designed to improve and maintain anatomic alignment, even in patients with dorsal comminution and poor metaphyseal bone quality. Its widespread use led to specific complications. Most part is related to tendon, nerve and complex regional pain syndrome [1] and could be avoided by meticulous attention to detail and surgical experience [2]. Tendon and articular injury comp...

Therapeutic effects of volar anatomical plates versus locking plates for volar Barton's fractures.

Volar Barton's fractures are uncommon and extremely unstable. Various surgical techniques have been reported in the literature, but open reduction and internal fixation using a volar plate system is currently advocated for the treatment of volar Barton's fractures. The purpose of this study was to compare the therapeutic effects of volar anatomical plates and volar locking plates in the treatme...

The evolution of locked plates.

Difficulties encountered removing locked plates

INTRODUCTION Locked plates are commonly used to obtain fixation in periarticular and comminuted fractures. Their use has also gained popularity in repairing fractures in osteoporotic bone. These plates provide stable fixation and promote biological healing. Over the last 3 years, we have used over 150 locked plates with varying success to fix periarticular fractures involving mainly the knee an...

Biomechanics of locked plates and screws.

OBJECTIVE To review the biomechanical principles that guide fracture fixation with plates and screws; specifically to compare and contrast the function and roles of conventional unlocked plates to locked plates in fracture fixation. We review basic plate and screw function, discuss the design rationale for the new implants, and examine the biomechanical evidence that supports the use of such im...