Is posterolateral plating better for fixation of Weber B distal fibular fractures than lateral plating

2020 ◽  
Vol 31 (1) ◽  
pp. 58-66
Author(s):  
Mohammed Reda Abd Elwahab ◽  
Ahmed Salem Eid ◽  
Ahmed Kotb ◽  
Shady El-ghammaz
Keyword(s):  
Lateral Plating

Defining A Safe Entry Point for a Sacral Screw in Lateral Plating in Feline Ilial Fractures

2018 ◽  
Vol 31 (S 02) ◽  
pp. A1-A25
Author(s):  
Philipp Schmierer ◽  
Sebastian Knell ◽  
Emanuelle Castelli ◽  
Antonio Pozzi
Keyword(s):  
Entry Point ◽  
Lateral Plating

COMPARATIVE STUDY BETWEEN MEDIALAND LATERAL DISTAL TIBIAL LOCKING COMPRESSION PLATES FOR DISTAL THIRD TIBIAL FRACTURES

2021 ◽  
pp. 1-4
Author(s):  
Rajat Saini ◽  
R. K. Verma ◽  
S. P. Gupta ◽  
Rajat Jangir ◽  
Raj Kumar Bairwa
Keyword(s):  
Open Reduction ◽  
Bone Fractures ◽  
Locking Compression Plate ◽  
Tibial Fractures ◽  
Plate Group ◽  
Locking Compression Plates ◽  
Compression Plate ◽  
Lateral Plating ◽  
Group 2 ◽  
Group 1

Aim and objectives:to compare both the ways of xation in randomly selected cases in distal third tibia fractures to known the best way of xation technique & implant. Material and methods: In our study we have selected 40 patients with fractures of the distal third tibia, who attended the department of orthopaedics treated by open reduction and internal xation with using Medial/Lateral distal locking compression plates, in Mahatma Gandhi Medical College & Hospital, Jaipur during the year January 2019 to June 2020. The duration of follow-up to evaluate result was six months. We divided the distal leg bone fractures into two groups. Group 1: Include the distal third tibial fractures which are simple or comminuted treated as open reduction & internal xation with lateral locking compression plate. Group 2: Includes the distal third tibial fractures which are simple or comminuted, treated as open reduction & internal xation with medial locking compression plate. Results: There was no signicant difference in duration of surgeries and suture removal.In there were 3 cases of nonunion 1 case in lateral plating group and 2 cases in medial plating group. Group 1 were show 20% excellent, 45% good, 30% fair & 5% poor result. Group 2 were show 15 % excellent, 30% good, 45% fair &10% poor result according to Tenny & Wiss criteria. Conclusion: Lateral plating was much better in as a procedure and outcome wise.

scholarly journals The concept of direct approach to lateral tibial plateau fractures and stepwise extension as needed

2020 ◽  
Vol 46 (6) ◽  
pp. 1211-1219 ◽  
Author(s):  
Karl-Heinz Frosch ◽  
Alexander Korthaus ◽  
Darius Thiesen ◽  
Jannik Frings ◽  
Matthias Krause
Keyword(s):  
Prone Position ◽  
Tibial Plateau ◽  
Articular Surface ◽  
Lateral Meniscus ◽  
Tibial Plateau Fractures ◽  
Posterolateral Approach ◽  
Central Segment ◽  
Anatomic Reduction ◽  
Lateral Plating ◽  
Lateral Plateau

AbstractMalreduction after tibial plateau fractures mainly occurs due to insufficient visualization of the articular surface. In 85% of all C-type fractures an involvement of the posterolateral-central segment is observed, which is the main region of malreduction. The choice of the approach is determined (1) by the articular area which needs to be visualized and (2) the positioning of the fixation material. For simple lateral plateau fractures without involvement of the posterolateral-central segment an anterolateral standard approach in supine position with a lateral plating is the treatment of choice in most cases. For complex fractures the surgeon has to consider, that the articular surface of the lateral plateau only can be completely visualized by extended approaches in supine, lateral and prone position. Anterolateral and lateral plating can also be performed in supine, lateral and prone position. A direct fixation of the posterolateral-central segment by a plate or a screw from posterior can be only achieved in prone or lateral position, not supine. The posterolateral approach includes the use of two windows for direct visualization of the fracture. If visualization is insufficient the approach can be extended by lateral epicondylar osteotomy which allows exposure of at least 83% of the lateral articular surface. Additional central subluxation of the lateral meniscus allows to expose almost 100% of the articular surface. The concept of stepwise extension of the approach is helpful and should be individually performed as needed to achieve anatomic reduction and stable fixation of tibial plateau fractures.

Angular stable lateral plating is a valid alternative to conventional plate fixation in the proximal phalanx. A biomechanical study

2015 ◽  
Vol 30 (5) ◽  
pp. 405-410
Author(s):  
R. Shanmugam ◽  
M. Ernst ◽  
K. Stoffel ◽  
M.F. Fischer ◽  
D. Wahl ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Proximal Phalanx ◽  
Biomechanical Study ◽  
Lateral Plating ◽  
Conventional Plate

Arthrodesis of the Ankle with Lateral Plating

1994 ◽  
Vol 15 (12) ◽  
pp. 649-653 ◽  
Author(s):  
W. Grant Braly ◽  
James K. Baker ◽  
Hugh S. Tullos
Keyword(s):  
Rheumatoid Arthritis ◽  
Internal Fixation ◽  
Cancellous Bone ◽  
Ankle Arthrodesis ◽  
Degenerative Arthritis ◽  
Ankle Arthroplasty ◽  
Lateral Plating ◽  
Screw Malposition ◽  
Clinical Grading

A modification of internal fixation compression arthrodesis for ankle fusion is described using two 6.5-mm cancellous bone screws and a lateral T plate. Using this technique, 20 consecutive arthrodeses by one surgeon were reviewed. Solid union was attained in 19 of 20 patients (95%). Average follow-up was 18 months (range 6–59 months). Time to obtain solid arthrodeses averaged 18 weeks. In 11 patients who returned for follow-up, clinical grading using the Mazur scale score averaged 70 of 90 points. Diagnoses included posttraumatic degenerative arthritis, failed ankle arthrodesis and rheumatoid arthritis (2 each), failed ankle arthroplasty, and posttuberculous arthritis (1 each). Complications included one malunion and one asymptomatic screw malposition. All patients attaining union were pleased with the procedure.

Feline Ilial Fractures: A Prospective Study of Dorsal Plating and Comparison with Lateral Plating

2009 ◽  
Vol 38 (3) ◽  
pp. 334-342 ◽  
Author(s):  
SORREL J. LANGLEY-HOBBS ◽  
RICHARD L. MEESON ◽  
MICHAEL H. HAMILTON ◽  
HEIDI RADKE ◽  
KARLA LEE
Keyword(s):  
Prospective Study ◽  
Lateral Plating ◽  
A Prospective Study ◽  
Dorsal Plating

scholarly journals Radiologic and Clinical Outcomes of Ollier Approach with Screw Fixation for Displaced Intra-Articular Calcaneal Fractures – Comparative Study with Extensile Lateral Approach with Lateral Plating

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0004 ◽  
Author(s):  
Seunghun Woo ◽  
Su-Young Bae ◽  
Hyung Jin Chung ◽  
Tae Sik Goh
Keyword(s):  
Soft Tissue ◽  
Screw Fixation ◽  
Weight Bearing ◽  
Lateral Approach ◽  
Functional Score ◽  
Calcaneal Fractures ◽  
Pain Scores ◽  
Extensile Lateral Approach ◽  
Lateral Plating

Category: Trauma Introduction/Purpose: This study aims to assess the detailed radiologic outcomes which used uninjured side weight-bearing radiograph as a template as well as clinical results to compare the Ollier approach with screw fixation and the extensile lateral approach with lateral plating. Methods: We performed a retrospective review of intra-articular calcaneal fractures treated operatively in our hospital from January 2009 to November 2014. Radiologic outcomes were assessed using radiologic parameters such as Böhler angle, calcaneal height, and talar sagittal angles represent calcaneal deformation by the comparison of the final follow-up bilateral weight-bearing lateral radiograph. Functional outcome was assessed through the American Orthopaedic Foot and Ankle Society (AOFAS) scores and Visual Analog Scale (VAS) pain scores. Postoperative complications were investigated. Results: Ninety-seven unilateral fractures were appeared to match our inclusion criteria: forty-six fractures were treated by using the extensile lateral approach with lateral plating (the ELP group), and fifty-one fractures were treated with the Ollier approach and screw fixation (the OS group). The operation time was significantly shorter in the OA group (p<0.05). There were no significant difference of the final follow-up radiologic parameters between two groups. The mean AOFAS scores were significantly higher in the OS group (p = 0.020) and both groups showed similarity in the VAS pain scores (p = 0.175). Overall soft-tissue complications were 28.3% in the ELP group and 9.8% in the OS group (p = 0.034). Conclusion: No difference could be shown in the postoperative and final follow-up radiological outcomes between the Ollier approach and the extensile lateral approach, but the Ollier approach had better functional score and lower soft tissue complication rate with shorter operative time.

scholarly journals Step cut closing wedge osteotomy and lateral plating for cubitus varus in adults

2020 ◽  
Vol 6 (1) ◽  
pp. 565-569
Author(s):  
Dr. Devendra Lakhotia ◽  
Dr. Kartikeya Sharma ◽  
Dr. Madharam Bishnoi
Keyword(s):  
Wedge Osteotomy ◽  
Cubitus Varus ◽  
Closing Wedge Osteotomy ◽  
Closing Wedge ◽  
Lateral Plating

Peroneal Tendon Lesions Caused by Antiglide Plates Used for Fixation of Lateral Malleolar Fractures: The Effect of Plate and Screw Position

2005 ◽  
Vol 26 (4) ◽  
pp. 281-285 ◽  
Author(s):  
Martin Weber ◽  
Fabian Krause
Keyword(s):  
Hardware Removal ◽  
Peroneal Tendon ◽  
Strongly Correlated ◽  
Screw Head ◽  
Malleolar Fractures ◽  
Tendon Lesion ◽  
Wound Healing Problems ◽  
Lateral Plating ◽  
Distal Hole ◽  
Screw Position

Background: Posterolateral antiglide plating of unstable AO-type B lateral malleolar fractures is biomechanically stronger than lateral plating and causes less wound healing problems and less frequent hardware removal. However, the distal end of the plate or the screws may cause peroneal tendinitis. The limits of safe hardware placement have not been established. Method: A retrospective analysis of 70 patients was done to determine hardware position and identify peroneal tendon lesions. An adjunct study involved dissection of the retromalleolar region in 10 embalmed cadaver specimens to study the anatomy of the osteosynovial peroneal groove. Results: Thirty of 70 (43%) patients had the plate removed because of discomfort or signs of peroneal tendinitis. Peroneal tendon lesions were identified intraoperatively in nine of the 30 (30%) patients. Only two of these nine patients had felt symptoms preoperatively. Placement of the distal end of the plate distal to the proximal third of the lateral malleolus did not correlate with a peroneal tendon lesion. However, this placement combined with a screw in the most distal hole of the plate and a prominent screw head was strongly correlated with peroneal tendon lesions. In the anatomic specimens the shape of the osteosynovial part of the peroneal groove was uniform, but its length showed greater variation than the length of the foot. Conclusions: Antiglide plating of lateral malleolar fractures led to high rates of hardware removal and peroneal tendon lesions. Correlations were found to low placement of the plate together with a protruding screw head in the most distal hole of the plate. Distal screw placement should therefore be avoided or the hardware should be removed early. Absence of subjective signs of peroneal tendon irritation does not exclude even a major tendon lesion.

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