Box Plate Fixation of the Symphysis Pubis: Biomechanical Evaluation of a New Technique

Thirty three per cent of children with obstetrical brachial plexus palsy with incomplete neurological recovery develop shoulder internal contracture associated with osseous deformity. Some of the older children are treated by humeral derotational osteotomy. The classical technique of open approach to the humeral diaphysis and plate fixation imposes a longitudinal scar and carries significant risks (nonunion, nerve palsy); a secondary procedure for plate removal is necessary in a significant proportion of patients. The authors report a new technique of percutaneous humeral osteotomy with osteosynthesis by Hoffmann external fixator. In six cases bone healing was obtained at an average of 45 days, without adverse complication. The postoperative results showed improved shoulder function. This new technique is simple and safe; it represents a new option for the treatment of sequelae of obstetrical brachial plexus palsy.

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Biomechanical evaluation of a new technique for external fixation of unstable supracondylar humerus fractures in children

Technology and Health Care ◽

10.3233/thc-150905 ◽

2015 ◽

Vol 23 (4) ◽

pp. 453-461 ◽

Cited By ~ 5

Author(s):

Lisa Hohloch ◽

Lukas Konstantinidis ◽

Ferdinand C. Wagner ◽

Peter C. Strohm ◽

Norbert P. Südkamp and ◽

...

Keyword(s):

External Fixation ◽

New Technique ◽

Fractures In Children ◽

Supracondylar Humerus Fractures ◽

Biomechanical Evaluation ◽

Humerus Fractures ◽

A New Technique

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Plate Fixation of Talar Neck Fractures: Preliminary Review of a New Technique in Twenty-three Patients

Journal of Orthopaedic Trauma ◽

10.1097/00005131-200204000-00001 ◽

2002 ◽

Vol 16 (4) ◽

pp. 213-219 ◽

Cited By ~ 80

Author(s):

P. B. Fleuriau Chateau ◽

D. S. Brokaw ◽

B. A. Jelen ◽

D. K. Scheid ◽

T. G. Weber

Keyword(s):

Plate Fixation ◽

New Technique ◽

Preliminary Review ◽

A New Technique ◽

Talar Neck Fractures

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Ankle Fusion: A New Technique of Internal Fixation Using a Compression Blade Plate

Foot & Ankle ◽

10.1177/107110078900900505 ◽

1989 ◽

Vol 9 (5) ◽

pp. 232-240 ◽

Cited By ~ 63

Author(s):

David T. Sowa ◽

Kenneth A. Krackow

Keyword(s):

Plate Fixation ◽

Clinical Results ◽

New Technique ◽

Ischemic Necrosis ◽

Blade Plate ◽

Flexion Extension ◽

Solid Fusion ◽

Tibiotalar Arthrodesis ◽

A New Technique

A new technique of tibiotalar arthrodesis has been developed offering wide exposure, excellent correction of deformity, good bony apposition, and blade plate fixation. This technique has even been effective in cases of ischemic necrosis of the talus. A modified pediatric blade plate is used to effect compression of the talus to the tibia and to provide stability against flexion/extension and varus/valgus movement. Fixation is augmented by a lateral fibular strut screwed to the tibia and talus. In this series, 17 compression blade plate tibiotalar arthrodeses were performed. Follow-up averaged 48 months (range 13 to 85 months). Preoperative diagnoses included postraumatic degenerative arthritis, rheumatoid arthritis, and ischemic necrosis of the talus. Solid fusion was achieved in 16 of 17 patients (94%) with a painless, stable pseudarthrosis in the remaining one. Time to fusion averaged 4 months (range 2 ½ to 6 months). Functional clinical results were excellent in 12 and good in 4 patients. Of 14 patients evaluated by the Mazur scale, 10 scored within the range of excellent; 2, good; and 2, fair.

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