No abstract

On the basis of the high failure rate in this series of patients, locking compression plates do not appear to offer advantages over other types of plates in the treatment of type-B1 periprosthetic femoral fractures. Despite the potential to preserve the cement mantle, the locked screws did not appear to offer good pullout resistance in this fracture type. We believe that supplementation with strut allografts should be used routinely if this type of locking compression plate is selected to treat these fractures.

This article describes the surgical technique used in the treatment of closed and displaced intra-articular calcaneal fracture, sinus tarsi approach and fixation with a locking plate including a therapeutic algorithm. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.