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Percutaneous plating in the lower extremity.

C A Collinge1, R W Sanders

  • 1Orthopaedic Trauma Service, Florida Orthopaedic Institute and Tampa General Hospital, Tampa, FL 33606, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|August 22, 2000
PubMed
Summary
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Open reduction and internal fixation (ORIF) can harm bone healing. Biologic plating, especially percutaneous plating, aims to improve fracture union and reduce complications by preserving blood supply and minimizing surgical trauma.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Biologic Fixation

Background:

  • Open reduction and internal fixation (ORIF) has been used since the 1950s for fracture repair.
  • Extensive dissection in ORIF can compromise bone healing and increase infection risk.
  • Intramedullary nailing is standard for diaphyseal femur and tibia fractures, but plates/screws are preferred for periarticular and complex fractures.

Purpose of the Study:

  • To introduce and evaluate biologic plating techniques, including percutaneous plating.
  • To improve fracture healing rates and reduce complications like infection and non-union.
  • To preserve the blood supply to the injured bone during fracture fixation.

Main Methods:

  • Development of "biologic" reduction methods using indirect techniques.

Related Experiment Videos

  • Utilization of novel plate designs to minimize soft tissue disruption.
  • Implementation of percutaneous plating through submuscular/subcutaneous tunnels via limited incisions.

    • Main Results:

    • Biologic plating aims to enhance fracture union and decrease bone grafting needs.
    • Percutaneous plating may lead to reduced surgical trauma compared to traditional plating.
    • Potential for improved clinical outcomes and lower complication rates.

    Conclusions:

    • Percutaneous plating represents an evolution in biologic fixation strategies.
    • Minimally invasive techniques hold promise for better fracture healing and patient recovery.
    • Further research is needed to fully establish the benefits of these advanced plating methods.