Locked Plating: Biomechanics and Biology and Locked Plating: Clinical Indications

Raschke, Michael; Stange, Richard; Wähnert, Dirk; Frerichmann, U.; Fuchs, Thomas J.

doi:10.1097/bto.0b013e318150623d

Cited by 20 publications

(18 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19 Unlike conventional plates, LCP is a friction independent self stable construct which provides both angular and axial stability and minimizes risk of secondary loss of reduction through a threaded interface between the screw heads and the plate body. 12 MIPO with LCP for distal diametaphyseal tibia fracture has been found to be an effective treatment option. 1,14,15,[20][21][22][23][24][25] 27 In spite of use of MIPO with LCP as internal external fixators, anatomical reduction of the fracture by using indirect reduction maneuvers before applying the plate is very important surgical step.…”

Section: Discussionmentioning

confidence: 99%

“…When applied subcutaneously, LCP does not endanger periosteal blood supply, respect fracture heamtoma and also provides biomechanicaly stable construct. 12,13 Numbers of previous clinical studies have established MIPO with LCP as a biologically friendly and technically sound method of fixation for distal diametaphyseal tibia fracture but most of these studies except by Ronga et al and Ahmad et al have included both open and closed fractures. 1,14 Since behavior of both of these fracture are different, comparison will be not fair.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Diametaphyseal Tibia Fracture

Shrestha¹,

Acharya²,

Shrestha³

2012

Kathmandu Univ. Med. J.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Diametaphyseal Tibia Fracture

Shrestha¹,

Acharya²,

Shrestha³

2012

Kathmandu Univ. Med. J.

View full text Add to dashboard Cite

show abstract

“…As MIPO is well known to have many advantages, include preservation of osteogenic potential of the fracture hematoma, biologically friendly, and less surgical trauma to the surrounding soft tissues, it is recommended that all fractures should be preferably be fixed by this MIPO technique 1 .…”

Section: Discussionmentioning

confidence: 99%

“…LCP provides stable construct as internal external fixator, and promotes biological bone healing, coupled with the minimally invasive surgical approach, or Minimally Invasive Plate Osteosynthesis (MIPO) 1 . Generally, fixation of tibial shaft fracture in children and young patient is by using conventional compression plates [or dynamic compression plate (DCP)] that normally use extensile anterior surgical approach.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Plate Osteosynthesis with Conventional Compression Plate for Diaphyseal Tibia Fracture

M³

2014

MOJ

View full text Add to dashboard Cite

The diaphyseal tibia fracture is best treated with intramedullary nail but in some cases where the nail is not applicable, plate fixation will be the next option of fixation. The extensile anterior approach is normally used for conventional compression plate fixation in tibia shaft fractures. The extensive surgical dissection may devitalizes the bony fragments and interfere with the fracture union as well as soft tissue healing. Minimally Invasive Plate Osteosynthesis (MIPO) provides good preservation of blood supply and fracture hematoma at the fracture site thus promotes biological bone healing. The use of indirect reduction techniques and small skin incisions to introduce the plate is technically demanding and requires fluoroscopy exposures throughout the surgery, being some of its drawbacks. We recommend MIPO for conventional compression plate fixation in tibial shaft fractures in view of the reduced surgical trauma to the surrounding soft tissue and good functional outcome.

show abstract

“…Humeral shaft fractures constitute around 3-5% of all fractures [19]. Open reduction and internal fixation (ORIF) is the gold standard for surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Minimally Invasive Plate Osteosynthesis Technique for Humerus Diaphyseal Fractures with an Anterior Approach

2017

IJSR

View full text Add to dashboard Cite

Background: Minimally invasive plate osteosynthesis (MIPO) technique is one of the many options for the fixation of diaphyseal fractures of the shaft of humerus using the anterior approach. We evaluated the clinical, radiographic, and functional outcome using the MIPO technique to fracture shaft of humerus. Materials and Methods: 64 adult patients with diaphyseal fractures of the humerus treated with MIPO between 2014 February and October 2016 were included in the study. Patients with metabolic bone disease, polytrauma, and Gustilo and Anderson type 3 open fractures with injury severity score >16 were excluded from the study. All cases were treated with closed indirect reduction and locking plate fixation using the MIPO technique. The surgery time, radiation exposure, and time for union was noted. The shoulder and elbow function was assessed using the UCLA shoulder and Mayo elbow performance scores, respectively. Results: Of the 64 patients in the study, 38 were males and 26 were females. The mean age was 39 years (range: 22-70 years). 40 of the 64 (84.3%) had the dominant side fractured. We had 16 cases of C2 type; 10 cases of C1 and 10 cases of A2 type; 8 cases of B2 type; 6 cases each of B3, B1, and A1 type; and 2 cases of A3 type of fracture. The mean surgical time was 94.5 minutes (range: 70-120 minutes) and mean radiation exposure was 160.3 seconds (range: 100-220 seconds). The mean radiological fracture union time was 12.9 weeks (range: 10-20 weeks). Shoulder function was excellent in 54 cases (84.3%) and good in remaining 10 cases (15.6%) on the UCLA score. Elbow function was excellent in 52 cases (81.2%), good in 10 cases (15.6%), and fair in 2 case (3.1%) who had an associated olecranon fracture that was fixed by hook plate in the next sitting.

show abstract

Locked Plating: Biomechanics and Biology and Locked Plating: Clinical Indications

Cited by 20 publications

References 23 publications

Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Diametaphyseal Tibia Fracture

Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Diametaphyseal Tibia Fracture

Minimally Invasive Plate Osteosynthesis with Conventional Compression Plate for Diaphyseal Tibia Fracture

Outcome of Minimally Invasive Plate Osteosynthesis Technique for Humerus Diaphyseal Fractures with an Anterior Approach

Contact Info

Product

Resources

About