Topical Review

Jastifer, James R.

doi:10.1177/1071100714523274

Cited by 27 publications

(4 citation statements)

References 75 publications

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“…In order to provide a mechanically stable construct, a plate must lie in direct apposition to the bone surfaces. Any significant gapping between the bone and plate can decrease the plate’s stability and create large stress concentrations on the bone [8– 12]. For example with joint-sparing bunion correction procedures, the second metatarsal is subjected to bending forces imparted by reducing the first intermetatarsal space with suture material.…”

Section: -D Printing For Foot and Ankle Platingmentioning

confidence: 99%

“…In this instance, it is important that the force be evenly distributed across the bone to prevent any stress fractures from occurring. Lastly because there is minimal soft tissue surrounding the bones in the foot, plates must be thin or low-profile so as not to protrude or cause any skin irritation [8]. The absence of bulging underneath the skin is also an aesthetic advantage for patients [13].…”

Section: -D Printing For Foot and Ankle Platingmentioning

confidence: 99%

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Use of 3D Printed Bone Plate in Novel Technique to Surgically Correct Hallux Valgus Deformities

Smith

Dupont

Safranski

et al. 2016

Techniques in Orthopaedics

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Three-dimensional (3-D) printing offers many potential advantages in designing and manufacturing plating systems for foot and ankle procedures that involve small, geometrically complex bony anatomy. Here, we describe the design and clinical use of a Ti-6Al-4V ELI bone plate (FastForward™ Bone Tether Plate, MedShape, Inc., Atlanta, GA) manufactured through 3-D printing processes. The plate protects the second metatarsal when tethering suture tape between the first and second metatarsals and is a part of a new procedure that corrects hallux valgus (bunion) deformities without relying on doing an osteotomy or fusion procedure. The surgical technique and two clinical cases describing the use of this procedure with the 3-D printed bone plate are presented within.

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Section: -D Printing For Foot and Ankle Platingmentioning

confidence: 99%

Section: -D Printing For Foot and Ankle Platingmentioning

confidence: 99%

Use of 3D Printed Bone Plate in Novel Technique to Surgically Correct Hallux Valgus Deformities

Smith

Dupont

Safranski

et al. 2016

Techniques in Orthopaedics

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“…Distal locking screws in conjunction with proximal locking screws imposes excessive stiffness and impede necessary motion for healing. 7 In addition, it should be noted that locking plates present with an increase in wound complications. 8 The purpose of this study is to examine an alternative first-line method for routine treatment of simple, non-comminuted Weber B fibula fractures that is in contradistinction to historical AO principles.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lateral Locking Plate Fixation of Simple Weber B Fibula Fractures Without a Lag Screw Yields Excellent Radiographic Results

Mehraban

Lew

Foran

et al. 2021

Foot & Ankle Specialist

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Background The most common first-line fixation technique for simple Weber B fibula fractures is a lag screw with lateral neutralization plate. The most common surgical technique for unstable Weber B fibula fracture is one-third semi-tubular plate and cortical screws, implemented with lag screw when appropriate. However, the lag technique can be technically challenging in osteoporotic bone or within fibulas of smaller diameter, and in some cases can result in fragmentation at the fracture site, malreduction, or peroneal irritation. The purpose of this study is to examine an alternative first-line method for routine treatment of simple Weber B fibula fractures. Methods Fifty-two consecutive patients undergoing open reduction internal fixation (ORIF) of a Weber B fibula fracture by a single surgeon were included in this retrospective study. After reduction, a lateral locking plate was applied with cortical screws proximally and locking screws distally. No screw crossed the fracture in any case. Per published precedent, nonunion was defined as either a gap of >3 mm between fracture surfaces >6 months postoperatively or a fracture line >2 to 3 mm wide and sclerosing of the fracture surfaces. Similarly, malunion was defined as one or more of the following: talar tilt >2º, talar subluxation >2 mm, or tibiofibular clear space ≥5 mm. Results The mean (± standard deviation) age of the 52 included patients was 44.2 ± 16.2 years, the mean body mass index was 27.7 ± 6.6 kg/m2, and 63.5% of patients identified themselves as female sex. The mean follow-up was 6.2 (range: 1.5-15) months. In addition to undergoing fixation of the lateral malleolus, 21 patients also underwent fixation of the posterior malleolus, 27 underwent fixation of the medial malleolus, 29 underwent fixation across the syndesmosis, and 7 underwent repair of the deltoid. In all patients, bony anatomic union of the fibula and congruence of the mortise were achieved with no cases of malunion or nonunion. Conclusions The Arbeitsgemeinschaft für Osteosynthesefragen (AO) fixation technique for simple Weber B fractures with a lag screw and lateral neutralization plating has provided good outcomes for decades. We present an alternative technique for ORIF of these fractures with a lateral locking plate and no lag screw. In our series, we evaluated radiographic union and alignment as our primary outcome measures and found no cases of nonunion or malunion. Prospective cohort testing of lateral locking plates versus traditional fixation in the context of patient-centered value is warranted. Level of Evidence: Level III

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Arthrose des oberen Sprunggelenks

et al. 2017

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The majority of cases of upper ankle joint (UAJ) osteoarthritis are due to secondary causes. Clinically, osteoarthritis is usually characterized by an increasing limitation in dorsal extension of the UAJ with often relatively mild symptoms. In the course of time the full scale of the typical symptoms and the progressive restriction of the global function of the joint develop. Conservative therapy is often able to provide long-term improvement of the symptoms for the majority of patients by means of intermittent analgesics and orthoses as well as shoe modifications. Operative treatment strategies for initial stages are based on joint-sparing methods. The most frequently used therapy for progressive destruction of the UAJ is still arthrodesis. Total ankle replacement is becoming an increasingly more competitive procedure. Total ankle replacement provides a valuable extension of therapeutic possibilities for UAJ osteoarthritis.

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Topical Review

Cited by 27 publications

References 75 publications

Use of 3D Printed Bone Plate in Novel Technique to Surgically Correct Hallux Valgus Deformities

Use of 3D Printed Bone Plate in Novel Technique to Surgically Correct Hallux Valgus Deformities

Lateral Locking Plate Fixation of Simple Weber B Fibula Fractures Without a Lag Screw Yields Excellent Radiographic Results

Arthrose des oberen Sprunggelenks

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