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Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

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Published on: August 14, 2018

Technical pitfall while reducing the mismatch between LCP PLT and upper end tibia in proximal tibia fractures.

Jong-Keon Oh¹, Dipit Sahu, Jin-Ho Hwang

¹Department of Orthopaedic Surgery, Korea University School of Medicine, Guro Hospital, Seoul, Republic of Korea.

Archives of Orthopaedic and Trauma Surgery

|August 12, 2009

Summary

Precontoured locking plates for proximal tibia fractures can cause hardware irritation and malalignment. A common technique using reduction clamps to seat the plate may introduce errors, requiring careful surgical consideration.

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Area of Science:

Orthopedic Surgery
Biomedical Engineering

Background:

Minimally invasive techniques and precontoured locking plates (LCP PLT, LISS PLT) are increasingly used for proximal tibia fractures.
These implants aim to improve fracture fixation but can lead to alignment issues.

Observation:

A common problem is hardware irritation of subcutaneous tissue by the upper plate end due to its large proximal profile.
A recommended technique involves using pelvic reduction clamps to seat the plate onto the bone.

Findings:

This clamping technique can be a source of surgical error, potentially introducing tibial malalignment.
Malalignment is often discovered postoperatively, necessitating corrective measures.

Implications:

Surgeons must be aware of the pitfalls associated with using reduction clamps for precontoured plates in proximal tibia fractures.
Modified techniques are needed to avoid malalignment and hardware irritation, improving patient outcomes.