Locking Compression Plate Distal Ulna Hook Plate as Alternative Fixation for Fifth Metatarsal Base Fracture

2014 ◽  
Vol 53 (5) ◽  
pp. 522-528 ◽  
Author(s):  
Sang Ki Lee ◽  
Ju Sang Park ◽  
Won Sik Choy
Keyword(s):  
Locking Compression Plate ◽  
Hook Plate ◽  
Distal Ulna ◽  
Compression Plate ◽  
Alternative Fixation

scholarly journals Locking Compression Plate Distal Ulna Hook Plates as Alternative Fixation for Avulsion Fractures of the Tip of the Lateral Malleolus

2020 ◽  
Author(s):  
Wei Shui ◽  
Gang Luo ◽  
Youyin Yang ◽  
Bo Qiao ◽  
Weidong Ni ◽  
...  
Keyword(s):  
Fragment Size ◽  
Locking Compression Plate ◽  
Lateral Malleolus ◽  
Hook Plate ◽  
Distal Ulna ◽  
Avulsion Fractures ◽  
Body Sensation ◽  
Compression Plate ◽  
The Mean

Abstract Background: Because of the fragment size and inferior location of the fracture lines, options are lacking for internal fixation to treat avulsion fractures of the tip of the lateral malleolus. Because the anatomical architecture of the distal malleolus is similar to that of the distal ulna metaphysis, the purpose of this study was to assess the effectiveness of 2.0-mm locking compression plate distal ulna hook plates in treating avulsion fractures of the tip of the lateral malleolus.Methods: Given the characteristics of the 2.0-mm locking compression plate distal ulna hook plate, cases in which the distance between the fracture lines and the distal end of the tip of the lateral malleolus was less than 6 mm were excluded. Seventeen patients (AO Foundation/Orthopaedic Trauma Association (AO/OTA) 44A fractures, 13 males, 4 females, median age 41 years range 18-73 years) with avulsion fractures of the tip of the lateral malleolus were included. All patients were treated with fixation of the fragment to the fibula using a 2.0-mm locking compression plate distal ulna hook plate. Clinical and radiological follow-up visits were conducted at 6 weeks and 3, 6, 12 and 24 months after the operation. Results: The mean American Orthopedic Foot and Ankle Society Ankle-Hindfoot score of the patients was 97.06±1.92 (range 94 to 100) at the 12-month postoperative follow-up and 97.71±1.54 (range 96 to 100) at the 24-month postoperative follow-up. The mean Karlsson score was 94.18±3.88 (range 90 to 100) at the 12-month postoperative follow-up and 96.43±2.34 (range 95 to 100) at the 24-month postoperative follow-up. Nonunion was not noted; 6 patients complained of lateral malleolar discomfort and foreign body sensation, and 3 of these patients underwent a hardware removal operation at 12 months postoperatively. All patients were clinically and radiographically stable.Conclusion: A 2.0-mm locking compression plate distal ulna hook plate achieved stable and anatomically suitable fixation and should be considered as an alternative treatment for avulsion fractures of the tip of the lateral malleolus.

scholarly journals Variable Angle Locking Compression Plate as Alternative Fixation for Jones Fractures:

2019 ◽  
Vol 12 (2) ◽  
pp. 28-32
Author(s):  
Kaylee A. Miller ◽  
Alexander C.M. Chong ◽  
Timothy P. Uglem
Keyword(s):  
Retrospective Chart Review ◽  
Locking Compression Plate ◽  
Fixation Method ◽  
Bony Union ◽  
Variable Angle ◽  
Anatomic Reduction ◽  
Compression Plate ◽  
Rapid Healing ◽  
Significant Disability ◽  
Alternative Fixation

Introduction. Jones fractures pose many challenges for the treatingsurgeon and can cause significant disability for some patients. Theaim of this study was to review the results of using a variable anglelocking compression plate as an alternative fixation method in thetreatment of Jones fractures.Methods.xA retrospective chart review was conducted of patientswho had undergone fixation of Jones fracture with a variable anglelocking compression plate from September 2012 through February2016. Radiographs of the preoperative and six-week postoperativeand postoperative follow-up outcomes, including complication andhardware removal, were collected.Results. Twenty-three cases met the inclusion/exclusion criteria.The overall bony union rate was 96% at six-week postoperative and100% at 20-week postoperative. Mean age was 30 ± 16 years, andmean BMI was 30.7 ± 5.2 kg/m2. Three patients (13%) had plateremoval: two (9%) were due to irritation caused by shoe wearing andone patient (4%) had a skin infection (cellulitis) which was treatedwith intravenous antibiotics. One patient (4%) had developed deepvein thrombosis (DVT) that was resolved with anticoagulant withoutimplant removal. No fixation loss and no associated complicationsdeveloped from implant removal.Conclusions. Based on our limited experience, this study providedevidence that the variable angle locking compression plate may be analternative form of fixation for Jones fractures with a low complicationrate. This procedure seemed to provide a safe, reliable methodthat can achieve an anatomic reduction, stable fixation, rapid healing,and good results in the treatment of Jones fractures.Kans J Med 2019;12(2):28-32.

Surgical Treatment of Zone 1 Fifth Metatarsal Base Fractures Using the Locking Compression Plate Distal Ulna Hook Plate

2017 ◽  
Vol 107 (5) ◽  
pp. 369-374 ◽  
Author(s):  
Jingjing Zhao ◽  
Bin Yu ◽  
Ming Xie ◽  
Ruokun Huang ◽  
Kai Xiao
Keyword(s):  
Functional Outcomes ◽  
Daily Living ◽  
Plate Fixation ◽  
Locking Compression Plate ◽  
Hook Plate ◽  
Foot And Ankle ◽  
Distal Ulna ◽  
American Orthopaedic ◽  
Mean Time ◽  
System Time

Background: The distal ulna hook plate was recently introduced for the treatment of fifth metatarsal base fractures, but no special articles have reported the surgical results of the plate fixation of displaced or comminuted fifth metatarsal base fractures in zone 1, which are the most common forefoot fractures. Methods: Twenty-one patients with Lawrence classification zone 1 fifth metatarsal base fractures with extra-articular displacement greater than 2 mm (n = 13) and intra-articular displacement fractures (n = 8) were included in the study. Patients were treated with the distal ulna hook plate. Patients were evaluated clinically and radiographically, and the functional outcomes were graded using the American Orthopaedic Foot and Ankle Society midfoot scoring system. Time to union and return to pre-injury levels of activity were calculated. Results: Mean American Orthopaedic Foot and Ankle Society midfoot scores were 42.25 points (range, 27–55 points) preoperatively and 93.16 points (range, 87–100 points) 1 year postoperatively. Mean time to complete union was 61.9 days (range, 52–85 days). Nineteen patients reported returning to previous activities of daily living at a mean of 79.8 days (range, 59–91 days). Two patients showed radiographic signs of mild degenerative changes and noted mild pain, and one patient experienced hardware irritation. Conclusions: The distal ulna hook plate might be considered an effective surgical method for zone 1 displaced fifth metatarsal base fractures or multifragmentary, osteoporotic fifth metatarsal base fractures.

Stainless Steel 2.0-mm Locking Compression Plate Osteosynthesis System for the Fixation of Comminuted Hand Fractures in Asian Adults

2011 ◽  
Vol 15 (2) ◽  
pp. 57-61
Author(s):  
Wong Hing-Cheong ◽  
Wong Hin-Keung ◽  
Wong Kam-Yiu
Keyword(s):  
Stainless Steel ◽  
Plate Osteosynthesis ◽  
Locking Compression Plate ◽  
Implant Removal ◽  
Hand Functions ◽  
Hand Fractures ◽  
Additional Surgery ◽  
Metacarpal Bones ◽  
Compression Plate ◽  
Grip Power

Objective The aim of this retrospective study was to analyse the clinical outcome of the application of stainless steel 2.0-mm locking compression plate (LCP) system for the treatment of comminuted hand fractures in Asian adults. Methods Six patients who had comminuted hand fractures were treated by open reduction and internal fixation with the application of stainless steel 2.0-mm LCP (AO Compact Hand System; Synthes, Oberdorf, Switzerland) from December 2009 to October 2010. The total arc of motion of fingers, grip power, complications, and additional surgery were recorded. Results Three out of six patients eventually restored good hand functions in terms of the total arc of finger motion (>220°) and grip power. The commonest complication was skin impingement in finger region by the implant (4 cases). Another common complication was restricted range of motion (3 cases). One patient had minimal degree of malrotation of his left little finger. Additional surgery was required in all the patients for implant removal (6 cases), tenolysis (3 cases), and capsulotomy (2 cases). Conclusions The stainless steel 2.0-mm LCP is useful for the fixation of unstable comminuted hand fractures, especially in metacarpal bones, because of its advantage of better stability, which allows more aggressive rehabilitation. However, its design is not very versatile and, therefore, limits its use in the finger region. Its bulkiness frequently causes implant impingement. The patients must be informed about the chance of implant removal later.

Locking compression plate as an external fixator in the treatment of closed distal tibial fractures

2015 ◽  
Vol 39 (11) ◽  
pp. 2227-2237 ◽  
Author(s):  
Yu Zhou ◽  
Yanbiao Wang ◽  
Lifeng Liu ◽  
Zhenyu Zhou ◽  
Xuecheng Cao
Keyword(s):  
External Fixator ◽  
Locking Compression Plate ◽  
Tibial Fractures ◽  
Distal Tibial Fractures ◽  
Compression Plate
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