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The role of locking technology in the hand
David E Ruchelsman1, Chaitanya S Mudgal, Jesse B Jupiter
1Hand and Upper Extremity Service, Yawkey Center, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Suite 2100, MA 02114, USA.
Hand Clinics
|July 31, 2010
Summary
Locked fixed-angle plating offers optimized surgical outcomes for specific hand and wrist fractures and reconstructions. Understanding biomechanics and proper technique is crucial for maximizing benefits and minimizing complications in hand trauma surgery.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Biomedical Engineering
Background:
- Locked fixed-angle plating is increasingly utilized for surgical fixation in hand and wrist injuries.
- This technique offers advantages in stabilizing complex fractures and reconstructions.
Purpose of the Study:
- To outline the indications and applications of locked fixed-angle plating in hand and wrist surgery.
- To emphasize the importance of understanding biomechanics and technical application for optimal outcomes.
Main Methods:
- Review of current literature and clinical experience with locked plating systems in hand trauma.
- Discussion of biomechanical principles and technical considerations for implant application.
Main Results:
- Locked plating is indicated for specific fractures including distal ulna, metacarpal, phalangeal, diaphyseal fractures with bone loss, osteopenic/pathologic fractures, nonunions, and joint arthrodesis.
- Proper application and understanding of implant design variations are essential for success.
Conclusions:
- Locked fixed-angle plating is a valuable tool for optimizing outcomes in select hand and wrist surgical scenarios.
- Continued clinical experience will likely expand the indications and applications of this technology.
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