HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (44) Citing Articles via Google Scholar Google Scholar Articles by Haidukewych, G. J. Search for Related Content PubMed PubMed Citation Articles by Haidukewych, G. J.

Innovations in Locking Plate Technology

Dr. Haidukewych is an Orthopaedic Traumatologist, Tampa General Hospital and Florida Orthopedic Institute, Tampa, FL.

Reprint requests: Dr. Haidukewych, Florida Orthopedic Institute, 13020 Telecom Parkway, Temple Terrace, FL 33637.

Plating techniques remain the mainstay for managing most periarticular and selected long bone fractures. However, movement toward more biologically appropriate plating techniques is occurring in an attempt to minimize soft-tissue stripping, decrease the need for bone grafting, and improve union rates. Internal fixation with locking plates creates a toggle-free, fixed-angle construct. Early data on the biomechanical and clinical performance of these implants are encouraging. Current indications for locked plating include periarticular fractures, typically those with metaphyseal comminution. Although impressive union rates have been reported, malunion remains a concern, especially when percutaneous techniques are used. Further clinical and biomechanical research on locking plate technology is needed to define its place fully alongside existing technology in orthopaedic trauma.

This article has been cited by other articles:

				G. J. Haidukewych and W. Ricci Locked Plating in Orthopaedic Trauma: A Clinical Update J. Am. Acad. Ortho. Surg., June 1, 2008; 16(6): 347 - 355. [Abstract] [Full Text] [PDF]

				R. Zdero, R. Walker, J. P. Waddell, and E. H. Schemitsch Biomechanical Evaluation of Periprosthetic Femoral Fracture Fixation J. Bone Joint Surg. Am., May 1, 2008; 90(5): 1068 - 1077. [Abstract] [Full Text] [PDF]

				K. C. Owsley and J. T. Gorczyca Displacement/Screw Cutout After Open Reduction and Locked Plate Fixation of Humeral Fractures J. Bone Joint Surg. Am., February 1, 2008; 90(2): 233 - 240. [Abstract] [Full Text] [PDF]

				W. R. Smith, B. H. Ziran, J. O. Anglen, and P. F. Stahel Locking plates: tips and tricks. J. Bone Joint Surg. Am., October 1, 2007; 89(10): 2298 - 2307. [Full Text] [PDF]

				S. J. Nho, R. H. Brophy, J. U. Barker, C. N. Cornell, and J. D. MacGillivray Management of Proximal Humeral Fractures Based on Current Literature J. Bone Joint Surg. Am., October 1, 2007; 89(suppl_3): 44 - 58. [Full Text] [PDF]

				M.A. Buttaro, G. Farfalli, M. P. Nunez, F. Comba, and F. Piccaluga Locking Compression Plate Fixation of Vancouver Type-B1 Periprosthetic Femoral Fractures J. Bone Joint Surg. Am., September 1, 2007; 89(9): 1964 - 1969. [Abstract] [Full Text] [PDF]

				G. Haidukewych, S. A. Sems, D. Huebner, D. Horwitz, and B. Levy Results of Polyaxial Locked-Plate Fixation of Periarticular Fractures of the Knee J. Bone Joint Surg. Am., March 1, 2007; 89(3): 614 - 620. [Abstract] [Full Text] [PDF]

				S. J. Nho, R. H. Brophy, J. U. Barker, C. N. Cornell, and J. D. MacGillivray Innovations in the Management of Displaced Proximal Humerus Fractures J. Am. Acad. Ortho. Surg., January 1, 2007; 15(1): 12 - 26. [Abstract] [Full Text] [PDF]

				N. Hebela, D. G. Smith, and M. A. Keenan What's New in Orthopaedic Rehabilitation J. Bone Joint Surg. Am., November 1, 2004; 86(11): 2577 - 2581. [Full Text] [PDF]