Plate on Plate Osteosynthesis for the Treatment of Nonhealed Periplate Fractures

Abstract

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.

Plate on Plate Osteosynthesis in Segmental Radius Fracture: A Case Report

“…Hence overlapping of plates in same plane in such fractures have better outcome. [5] The use of single long plate for radius was avoided to prevent the excessive shearing forces of such a construct. Also this is a single incision approach for radius which saves some operative time and blood loss.…”

Onlay fibula autografting technique and its comparison with cortical allograft for the reconstruction of periprosthetic bone defects around the femur

“…Lochab et al compared the results of LCPallograft and LCP-locking attachment plates in a biomechanical study and they stated that these two constructs provide similar mechanical strength in different loading models [40]. Previous techniques described by Ogden et al [41] include the use of allografts and cable or cerclage wire fixation because of the stem inside medullary of the proximal part and difficulties in placing screws [17]. However, with the advent of locking plate technologies, better fixation strength can be achieved as described by Fulkerson et al [42][43][44][45].…”

“…When the revision of the femoral component and/or fixation of a PFF is planned in patients with bone defects on the femur, the surgeons should consider that poor bone stock can cause low functional outcomes [11], femoral stem subsidence [12], PFF [13], sometimes implant fracture [14], malunion or nonunion [15], and re-fractures [16,17]. In order to decrease those complications and provide bone stock for the possible re-revisions, use of cortical onlay strut allografts has been recommended to reinforce the deficient femurs during the revisions and/or the fixation of PFF [18][19][20][21][22][23].…”

Powder metallurgy with space holder for porous titanium implants: A review

“…Fractures are becoming more common with the increase in the aging population. Indeed, periprosthetic fractures following implants for hip, knee, shoulder, and elbow replacement are becoming more common since they usually affect the elderly population [212].…”

“…Furthermore, all fractures in the elderly pose significant difficulties resulting from poor bone quality due to osteoporosis and reduced healing capacity. This is evident in the increased failure rate in osteosynthesis surgeries [212]. This has led to more patients requiring internal fixation to enable adequate healing and rehabilitation.…”