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Innovations in locking plate technology.

George J Haidukewych1

  • 1Tampa General Hospital and Florida Orthopedic Institute, Tampa, FL 33637, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|October 12, 2004
PubMed
Summary
This summary is machine-generated.

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Locked plating offers a fixed-angle construct for fractures, showing encouraging early results in periarticular and long bone fracture management. Further research is needed to fully define its role in orthopaedic trauma alongside existing techniques.

Area of Science:

  • Orthopaedic surgery
  • Trauma surgery
  • Biomaterials science

Background:

  • Plating techniques are standard for periarticular and long bone fractures.
  • There is a growing trend towards biologically appropriate plating methods.
  • Minimizing soft-tissue stripping and improving union rates are key goals.

Purpose of the Study:

  • To evaluate the biomechanical and clinical performance of internal fixation with locking plates.
  • To assess the effectiveness of locked plating in managing periarticular fractures with metaphyseal comminution.

Main Methods:

  • Utilizing internal fixation with locking plates to create a toggle-free, fixed-angle construct.
  • Reviewing early biomechanical and clinical data on locking plate technology.

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Main Results:

  • Locked plating provides a stable, fixed-angle construct.
  • Early biomechanical and clinical data are encouraging.
  • Impressive union rates have been reported for locked plating in specific fracture types.

Conclusions:

  • Locked plating is a promising technique for specific fracture patterns, particularly those with metaphyseal comminution.
  • Malunion remains a concern, especially with percutaneous application.
  • Further research is essential to establish the definitive role of locking plates in orthopaedic trauma management.