Current Concepts of Internal Plate Fixation of Fractures

Igna, Cornel; Schuszler, Larisa
July 2010
Bulletin of the University of Agricultural Sciences & Veterinary;2010, Vol. 67 Issue 2, p118
Academic Journal
This paper presents a review of the literature related to the current concepts of internal plate fixation of fractures. Papers selected for this review were drawn from peer review orthopaedic journals. All selected papers specifically discussed plate and screw used to fracture fixation. PubMed search terms were: plates and screws, DCP, LC-DCP, PC-Fix, LCP, LISS, MIPO, and fracture fixation. We review basic plate and screw function, discuss the design rationale for the new implants. Locked plates and conventional plates rely on completely different mechanical principles to provide fracture fixation and in so doing they provide different biological environments for healing. Locked plates may increasingly be indicated for indirect fracture reduction, diaphyseal/metaphyseal fractures in osteoporotic bone, bridging severely comminuted fractures, and the plating of fractures where anatomical constraints prevent plating on the tension side of the bone. Conventional plates may continue to be the fixation method of choice for periarticular fractures which demand perfect anatomical reduction and to certain types of nonunions which require increased stability for union.


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