الفهرس | Only 14 pages are availabe for public view |
Abstract Locking plate technology offers improved fixation stability in osteoporotic bone and for comminuted and periarticular fractures. The additional stability per screw compared with that of conventional non-locking fixation enhances the application of minimally invasive fracture techniques such as use of bridge plates and percutaneous fracture stabilization. The application of locking plates is somewhat more difficult than the placement of conventional plates. Fracture reductions are often done indirectly, the locking screw must be carefully aligned along the axis of the receiving hole to ensure proper tightness, and the length of the plate must be selected carefully. Despite the necessity of mastering these differences, the use of locking plates will likely increase, particularly with the increasing prevalence of fragility fractures in our aging population and the increase in high-energy fractures in younger patients surviving severe trauma. |