Analysis and comparison of clinical results of bilateral sagittal split ramus osteotomy performed with the use of monocortical locking plate fixation or bicortical screw fixation

2013 ◽  
Vol 116 (5) ◽  
pp. e333-e341 ◽  
Author(s):  
Yuhji Kabasawa ◽  
Masaru Sato ◽  
Tsuyoshi Kikuchi ◽  
Yuriko Sato ◽  
Yukiko Takahashi ◽  
...  
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Plate Fixation ◽  
Clinical Results ◽  
Locking Plate Fixation ◽  
Sagittal Split Ramus Osteotomy ◽  
Bicortical Screw

scholarly journals Supplementary medial locking plate fixation of Ludloff osteotomy versus sole lag screw fixation: A biomechanical evaluation

2017 ◽  
Vol 47 ◽  
pp. 66-72
Author(s):  
Panagiotis E. Chatzistergos ◽  
George C. Karaoglanis ◽  
Stavros K. Kourkoulis ◽  
Minos Tyllianakis ◽  
Emmanouil D. Stamatis
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Plate Fixation ◽  
Locking Plate Fixation ◽  
Lag Screw ◽  
Biomechanical Evaluation

scholarly journals Outcomes of Proximal Femoral Locking-plate Fixation for Pathological Fractures of the Proximal Femur

2021 ◽  
Vol 73 (9) ◽  
pp. 603-608
Author(s):  
Kongkhet Riansuwan ◽  
Somkiat Jivasomboonkul ◽  
Rapin Phimolsarnti ◽  
Chandhanarat Chandhanayingyong ◽  
Apichat Asavamongkolkul
Keyword(s):  
Proximal Femur ◽  
Locking Plate ◽  
Plate Fixation ◽  
Clinical Results ◽  
Assistive Device ◽  
Locking Plate Fixation ◽  
Pathological Fractures ◽  
Hardware Failure ◽  
Estimated Blood Loss

Objective: To study the treatment outcomes of proximal femoral locking-plate fixation of pathological fractures ofthe proximal femur relative to clinical results, implant failure, and surgical complications.Materials and Methods: From 2007 to 2018, 17 patients (18 femurs) with a diagnosis of impending or existingpathological fracture of the proximal femur were treated with proximal femoral locking-plate fixation. Data collectedincluded operative duration, estimated blood loss, ambulatory status, hardware failure events, and postoperativecomplications.Results: Of the 18 femurs that were included, 13 were existing pathological fractures and 5 were impending fractures.The mean age of patients was 53.7 years (range: 28-89), and 12 of them were female. The mean follow-up was 11.3months (range: 1-67). Ten of 17 patients (62.5%) had progressive lung disease from pulmonary metastasis or fromlung primary. No patient developed oxygen desaturation or cardiac arrest during the intraoperative or postoperativeperiod. Thirteen of 17 patients (76.5%) could walk with or without an assistive device at the time of final follow-up.Two patients required close postoperative monitoring in the intensive care unit due to poor preoperative status,and both of those patients died within one month after surgery from other medical problems. No hardware failureoccurred.Conclusion: For pathological fracture of the proximal femur, proximal femoral locking-plate fixation is a treatmentoption that results in fewer perioperative and postoperative cardiopulmonary events and surgical complications.Most patients can ambulate with or without an assistive device at the final follow-up.

scholarly journals Clinical Results of Volar Locking Plate Fixation for Distal Radius Fractures

2010 ◽  
Vol 59 (3) ◽  
pp. 497-500
Author(s):  
Takashi Matsumoto ◽  
Toshio Inoue ◽  
Nobuhiro Ikari ◽  
Hitoshi Shirachi
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Locking Plate Fixation

scholarly journals Assessment of the Efficacy of the Far Cortical Locking Technique in Proximal Humeral Fractures: A Comparison with the Conventional Bi-cortical Locking Technique 

2020 ◽  
Author(s):  
joongbae seo ◽  
Yoenjun Kim ◽  
Kyubeom Kim ◽  
Jae-Sung Yoo
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Callus Formation ◽  
Constant Score ◽  
Plate Fixation ◽  
Treatment Strategies ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Union Rate ◽  
Locking Plate Fixation

Abstract Background Locking plate fixation is one of the treatment strategies for the management of proximal humeral fractures. However, stiffness after locking plate fixation is a clinical concern. The mechanical stiffness of the standard locking plate system may suppress the interfragmentary motion necessary to promote secondary bone healing by callus formation. The far cortical locking (FCL) technique was developed to address this limitation in 2005. FCL increases construct flexibility and promotes callus formation. Our study aimed to evaluate the clinical and radiological outcomes of the FCL technique when implemented in proximal humeral fracture management. Furthermore, we compared the surgical outcomes of FCL with those of the conventional bicortical locking (BCL) screw fixation technique.Methods Forty-five consecutive patients who had undergone locking fixation for proximal humeral fractures were included in this study. A proximal humeral locking plate (PHILOS) system with BCL screw fixation was used in the first 27 cases, and the periarticular proximal humeral locking plate with FCL screw fixation was used in the final 18 consecutive cases. Functional capacity was assessed using the constant score, American Shoulder and Elbow Surgeons (ASES) score, and range of motion. Radiographic outcomes were evaluated using the Paavolainen method of measuring the neck-shaft angle (NSA).Results No significant differences in clinical outcomes (ASES score, constant score, and range of motion)were found between the two groups. The union rate at 12 weeks was significantly higher in the FCL group (94.4%) than in the BCL group (66.7%, p=0.006). No significant differences in NSA were found between the two treatment strategies. The complication rate was not significantly different between the two groups.Conclusions When implemented in proximal humeral fractures, the FCL technique showed satisfactory clinical and radiological outcomes as compared with the conventional BCL technique. The bone union rate at 12 weeks after surgery was significantly higher in the FCL group than in the BCL group. However, no significant difference in the final bone union rate was found between the two groups.

scholarly journals Clinical Results of Volar Locking Plate Fixation for Distal Radius Fractures

2009 ◽  
Vol 58 (1) ◽  
pp. 93-97 ◽  
Author(s):  
Masao Teramoto ◽  
Hiroshi Hagihara ◽  
Naoyuki Kuga ◽  
Masuo Hanada ◽  
Tomoaki Tanaka ◽  
...  
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Plate Fixation ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Locking Plate Fixation

Mechanical Comparison of Headless Screw Fixation and Locking Plate Fixation for Talar Neck Fractures

2015 ◽  
Vol 54 (5) ◽  
pp. 905-909 ◽  
Author(s):  
Ahmet Karakasli ◽  
Onur Hapa ◽  
Mehmet Erduran ◽  
Cemal Dincer ◽  
Berivan Cecen ◽  
...  
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Plate Fixation ◽  
Locking Plate Fixation ◽  
Talar Neck Fractures

scholarly journals Assessment of the Efficacy of the Far Cortical Locking Technique in Proximal Humeral Fractures: A Comparison with the Conventional Bi-cortical Locking Technique 

2020 ◽  
Author(s):  
joongbae seo ◽  
Yoenjun Kim ◽  
Kyubeom Kim ◽  
Jae-Sung Yoo
Keyword(s):  
Locking Plate ◽  
Screw Fixation ◽  
Callus Formation ◽  
Constant Score ◽  
Plate Fixation ◽  
Treatment Strategies ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Union Rate ◽  
Locking Plate Fixation

Abstract Background Locking plate fixation is one of the treatment strategies for the management of proximal humeral fractures. However, stiffness after locking plate fixation is a clinical concern. The mechanical stiffness of the standard locking plate system may suppress the interfragmentary motion necessary to promote secondary bone healing by callus formation. The far cortical locking (FCL) technique was developed to address this limitation in 2005. FCL increases construct flexibility and promotes callus formation. Our study aimed to evaluate the clinical and radiological outcomes of the FCL technique when implemented in proximal humeral fracture management. Furthermore, we compared the surgical outcomes of FCL with those of the conventional bicortical locking (BCL) screw fixation technique.Methods Forty-five consecutive patients who had undergone locking fixation for proximal humeral fractures were included in this study. A proximal humeral locking plate (PHILOS) system with BCL screw fixation was used in the first 27 cases, and the periarticular proximal humeral locking plate with FCL screw fixation was used in the final 18 consecutive cases. Functional capacity was assessed using the constant score, American Shoulder and Elbow Surgeons (ASES) score, and range of motion. Radiographic outcomes were evaluated using the Paavolainen method of measuring the neck-shaft angle (NSA).Results No significant differences in clinical outcomes (ASES score, constant score, and range of motion)were found between the two groups. The union rate at 12 weeks was significantly higher in the FCL group (94.4%) than in the BCL group (66.7%, p=0.006). No significant differences in NSA were found between the two treatment strategies. The complication rate was not significantly different between the two groups.Conclusions When implemented in proximal humeral fractures, the FCL technique showed satisfactory clinical and radiological outcomes as compared with the conventional BCL technique. The bone union rate at 12 weeks after surgery was significantly higher in the FCL group than in the BCL group. However, no significant difference in the final bone union rate was found between the two groups.Level of evidence: Level III-2, Retrospective study

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