Locking Plates in Osteoporosis

Davis, Charles M.; Stall, Alec; Knutsen, Elisa J.; Whitney, Augusta; Becker, Edward H.; Hsieh, Adam H.; O’Toole, Robert V.

doi:10.1097/bot.0b013e318220edae

Cited by 17 publications

(4 citation statements)

References 40 publications

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“…Locking constructs can overcome this disadvantage because stability is achieved through the locking interface between pate and screws and therefore it has been suggested that they are ideal for the treatment of osteoporotic fractures [7–11]. Cadaveric studies have also demonstrated that locking plates have an improved mechanical performance in torsional cycling loading over nonlocking constructs, especially in osteoporotic bone [12]. …”

Section: Discussionmentioning

confidence: 99%

Plate on Plate Osteosynthesis for the Treatment of Nonhealed Periplate Fractures

et al. 2014

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Purpose. The purpose of this paper is to present our technique for the treatment of periplate fractures. Methods. From 2009 to 2012 we treated three patients. In all cases the existing plate was left and the new one placed over the existing. Locking screws were placed through both plates. The other screws in the new plate were used as best suited the fracture. Results. In all cases less than 6 months had passed between fractures. None of the original fractures had healed. Mean followup was 2 years. All fractures proceeded to union within 7 months. No complications were recorded. All the patients returned to their normal activities and were satisfied with the results of their treatment. Conclusion. Our plate on plate technique is effective for the treatment of periplate fractures. A solid fusion can be achieved at the new fracture site without disturbing the previous fixation.

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Section: Discussionmentioning

confidence: 99%

Plate on Plate Osteosynthesis for the Treatment of Nonhealed Periplate Fractures

et al. 2014

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“…More recently, humeral nails have been designed with threaded screw holes in order to provide more stability. Locking plates are theoretically advantageous in osteoporotic fractures, supplying a wider fixing area [33][34][35][36] .…”

Section: Special Consideration For Osteoporosismentioning

confidence: 99%

Appropriateness of fixation methods - Trauma Meeting 2019: humeral diaphysis

Guindani

Castelli

2020

Lo Scalpello

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Humeral shaft fractures account for about 1-3% of all fractures in adults and are classified according their location, open or closed status and the pattern of fracture lines. Conservative treatment with functional bracing has been the most widely accepted treatment option in the last decades, however an increasing number of patients is treated surgically. This article overviews the indications, pros and cons of the most used fixation methods. Plates and nails are the most used devices, have widely overlapping indications, mostly depending on surgeon's preference. Plate fixation can be used for almost all humeral fractures and represent the best option for transitional fractures (proximal or distal shaft), particularly those with intra-articular involvement. MIPO techniques combines the advantages of plates with less soft tissue impairment. Fractures associated with nervous lesions deserve special considerations: the need to explore the radial nerve can drive the choice of implant more than the fracture itself. Intramedullary implants are the best option for pathological fractures of the humeral shaft, and can appropriately replace plates fixation for middle third or proximal shaft even with intra-articular simple patterns. External fixation is rarely indicated, mainly for damage control and/or extensive soft tissue damage.

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“…Numerous biomechanical studies have demonstrated the mechanical superiority of locking fixation in a fracture model but none have focused on fixation of the bone scaffolds. [18][19][20] We hypothesized that the locking plate fixation provides more stable internal fixation under cyclic axial, bending, and torsional loading. The study is clinically relevant in that it will guide treating surgeons with respect to internal fixation and guide post-operative regimens for the patients with massive intercalary skeletal defects treated with bone scaffolds.…”

Section: Segmental Allografts Have Been Advocated To Reconstruct Defementioning

confidence: 99%

Optimal internal fixation of anatomically shaped synthetic bone grafts for massive segmental defects of long bones

Vorys¹,

Bai²,

Chandhanayingyong³

et al. 2015

Clinical Biomechanics

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Locking Plates in Osteoporosis

Cited by 17 publications

References 40 publications

Plate on Plate Osteosynthesis for the Treatment of Nonhealed Periplate Fractures

Plate on Plate Osteosynthesis for the Treatment of Nonhealed Periplate Fractures

Appropriateness of fixation methods - Trauma Meeting 2019: humeral diaphysis

Optimal internal fixation of anatomically shaped synthetic bone grafts for massive segmental defects of long bones

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