Locking versus Non-locking Neutralization Plates with Limited Excision and Internal Fixation for Treatment of Extra-articular Type a Distal Tibial Fractures

Zhou, Kaihua; Chen, Nong

doi:10.2174/1874325001711010057

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…They did not nevertheless, their study had a retrospective design and had a low sample size which could affect the results. The material properties of locking plates also make them more expensive than non-locking ones, and developing countries have less access to them [ 36 , 37 ]. However, we used a standard non-locking T-plate due to lower cost and accessibility in our developing country.…”

Section: Discussionmentioning

confidence: 99%

“…The T-plate does not enter the subacromial space and thus does not induce rotator cuff damage or impingement [ 17 – 19 , 22 , 39 ]. This technique induced lower cost than locking one [ 36 , 37 ], and having no prior plan for plate removal surgery in the absence of symptoms made it more affordable than hook plate fixation [ 40 ]. It is crucial in developing countries such as ours that have limited access to expensive implants.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of hook plate versus T-plate in the treatment of Neer type II distal clavicle fractures: a prospective matched comparative cohort study

et al. 2022

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Background This study aimed to compare the clinical and radiological outcomes of distal clavicle fracture fixation with a hook plate versus the standard non-locking T-plate for unstable Neer type II fractures. Methods A prospective matched cohort study including two groups of hook plates and T-plates fixation was conducted in our two tertiary trauma centers. Patients with distal clavicle fractures Neer type II were assessed for union and the Constant-Murley score (CMS) at 1-, 3-, and 6-month follow-ups. Inadequate radiographic consolidation > 6 months after surgery was defined as non-union. Subscales of CMSpain, CMSactivities of daily living, CMSrange of motion (ROM), and CMSstrength were also compared between groups. According to recommendations, the implant was removed after union confirmation in the hook plate at a planned second surgery. Results Sixty consecutive patients were enrolled: 30 in the T-plate group and 30 in the hook plate group. CMS showed similar functional outcomes for T-plates and hook plates at all follow-ups (Month 6: 92.0 vs. 91.7, P = 0.45). However, on the month 1 follow-up, the T-plate group scored higher than the hook plate group for ROM and pain (CMSpain = 13.0 vs. 12.3, P = 0.03; CMSROM = 35.2 vs. 33.2, P = 0.002). Despite this, Pain, ROM, and other CMS domains were comparable between groups (P > 0.05). The mean time to union was 2.5 + 1.4 months for the T-plate group and 2.3 + 1.6 months for the hook plate group (P = 0.44). There was one fixation failure in each group and one periprosthetic fracture in the hook plate group (two revisions for the hook plates and one for T-plates, P = 1.00). Non-union and other complications were not observed. Conclusion Both surgical approaches resulted in full recovery and good function. However, in the hook plate group ROM and pain scores were lower at 1 month. Standard non-locking T-plates are a viable alternative to hook plates with low cost and promising outcomes for treating displaced distal clavicle fractures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of hook plate versus T-plate in the treatment of Neer type II distal clavicle fractures: a prospective matched comparative cohort study

et al. 2022

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“…Fixation of the assembly is performed by the use of different kind of plates. In general, they can be divided into two general groups: Locking plates and Non-locking plates [9,11]. Locking plates provide better stability of the assembly and do not require precontouring of the plates.…”

Section: Introductionmentioning

confidence: 99%

Geometrical Models of Mandible Fracture and Plate Implant

Husain¹,

Rashid²,

Vitković³

et al. 2018

FU Mech Eng

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In the oral and maxillofacial surgery, there is a requirement to provide the best possible treatment for the patient with mandibular fractures. This treatment presumes application of reduction and fixation techniques for proper stabilization of the fracture site. The reduction of the bone fragments and their fixation is much better performed when geometry and morphology of the bone and osteofixation elements (e.g. plates) are properly defined. In this paper, a new healthcare procedure, which enables application of personalized plate implants for the fixation of the mandibular fractures, is presented. Geometrical models of mandible and plate implants, presented in this research, were created by means of the Method of Anatomical Features (MAF), which has been already applied to the creation of accurate geometrical models of various human bones, plates and fixators. By using such geometrically and anatomically accurate models, orthopedic and maxillofacial surgeons can better perform pre-operative tasks of simulating and planning the operation, as well as an intraoperative task of implanting the personalized plate into the patient body.

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Shoulder arthrodesis in a cat with humeral head dysplasia

Singh,

Solano,

Elmenhorst

2024

Vet Record Case Reports

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Shoulder arthrodesis is a recognised procedure for incapacitating shoulder conditions in dogs in cases where traditional surgical or medical interventions are not feasible. However, the use of shoulder arthrodesis in the feline patient has not been described. This case report details the novel use of shoulder arthrodesis in a 10‐month‐old cat with a chronic right forelimb lameness attributed to humeral head dysplasia. Surgical stabilisation of the right shoulder arthrodesis was achieved with two 2.4 mm Synthes locking compression plates and two 2.4 mm inter‐fragmentary positional screws. Short‐term follow‐up indicated adequate bone healing with good alignment and implant integrity. Subsequent long‐term phone follow‐up 22 months after surgery revealed a successful outcome with no visible stiffness and only a mechanical lameness. This result underscores the viability of shoulder arthrodesis as a potential option for feline patients necessitating shoulder salvage procedures.

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Locking versus Non-locking Neutralization Plates with Limited Excision and Internal Fixation for Treatment of Extra-articular Type a Distal Tibial Fractures

Cited by 5 publications

References 23 publications

Comparison of hook plate versus T-plate in the treatment of Neer type II distal clavicle fractures: a prospective matched comparative cohort study

Comparison of hook plate versus T-plate in the treatment of Neer type II distal clavicle fractures: a prospective matched comparative cohort study

Geometrical Models of Mandible Fracture and Plate Implant

Shoulder arthrodesis in a cat with humeral head dysplasia

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