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2.3 Use of Plates in Fracture Fixation
2.3 Use of Plates in Fracture Fixation
fixation
• Compression plate
• Protection plate
Absolute stability
• Buttress plate
• Plate over-bending
• Tensioning device
5
Absolute stability: compression by DCP
Transverse
fracture
6
Compression by plate over-bending
8
Protection plate: (neutralization)
9
Protection plate
Lag screws
10
Buttress plate
11
Buttress plate
12
Tension plate: converting tension to compression
13
Bridging plate
• Multifragmentary fractures
• Bridge the fracture site: restore length, rotation, and
angulation
• Relative stability – healing by callus
14
Bridging plate: tips
15
Relative stability
Callus
Callus
16
Relative stability
Callus
17
Locking plates
18
Locking plates: indications Photos
• Osteoporotic bone
• Elderly patients
• Nonunions
• Short segment of bone (not enough screws)
eg, condyles
• MIPO
19
Locking plates: tips