OBJECTIVE To evaluate the feasibility and efficiency of one-stage external fixation by using locking plate in distal tibial fractures. METHODS In this non-control prospective study, 28 patients with distal tibial fractures were included and underwent one-stage external fixation by using locking plate. There were 21 males and 7 females, with a mean age of 43 years (19-63). According to AO/OTA ...

BACKGROUND Proximal humeral fractures treated with locking plate can fail due to varus collapse, especially in osteoporotic bone with medial cortex comminution. The use of an intramedullary strut together with locking plate fixation may strengthen fixation and provide additional medial support to prevent the varus malalignment. This study biomechanically investigates the influence of an intrame...

Deformity correction and internal fixation during surgical treatment of Charcot Arthropathy (CA) requires strong implants capable of ensuring long-term stability and function of the foot. The purpose of this study was to determine the construct shear strength of the newly developed VLP Locking Osteopenia Screw (Smith & Nephew, Inc., Memphis, TN, USA), as compared to the VLP Locking Cortical Scr...

INTRODUCTION The advent of locking plates has brought new problems in implant removal. Difficulty in removing screws from a locking plate is well-known. These difficulties include cold welding between the screw head and locking screw hole, stripping of the recess of the screw head for the screwdriver, and cross-threading between threads in the screw head and screw hole. However, there are cases...

http://dx.doi.org/10.3415/VCOT-15-12-0202 Locking plates of various designs and specification are readily available commercially for fracture stabilization. All of these implants perform similarly, acting as angle stable internal fixators in regard to the plate-screw junction. There is a range of different mechanisms employed to achieve an angle stable locking connection between the plate and t...

Editorial to accompany the article: „The treatment of displaced intraarticular distal radius fractures in elderly patients—a randomized multicenter study (ORCHID) of open reduction and volar locking plate fixation versus closed reduction and cast immobilization“ by Christoph Bartl, Dirk Stengel et al. in this issue of Deutsches Ärzte blatt International in stage 5 do randomized studies compare ...

Introduction Recently, the technique of minimally invasive plate osteosynthesis (MIPO) can also be applied to volar locking plates in distal radius fractures. The advantages of MIPO are fracture healing, a quick return to activities of daily life, and cosmetics as a result of the preservation of the soft tissue compared with conventional plate osteosynthesis. The purpose of the present study wa...

This is a case report of a 58-year-old obese, diabetic female who sustained a dorsally angulated distal radius fracture, treated with a volar locking plate. Union was delayed and the plate broke. The fracture healed after repeated surgery involving replacement of the plate and grafting with demineralised bone matrix. Delayed unions of distal radius fractures are rare. This case shows that fract...

PURPOSE. To compare the efficacy of locking plate fixation with and without inferomedial screws in maintaining the reduction of a proximal humeral fracture. METHODS. 22 synthetic humerus models were used. A standardised 3-part proximal humeral fracture with a 4-mm wedge segment was created and fixed with a locking plate and screws with (n=11) and without (n=11) inferomedial screws. The intrafra...

Introduction Ankle fractures involving the distal fibula belong to the most common fractures. Operative treatment is indicated in unstable ankle fractures by open reduction and internal fixation with plate and screws. Especially in the elderly, the osteoporotic bone provides reduced stabilization of this fixation. Therefore, an implant providing improved mechanical stabilization could allow a m...