The Journal of Bone and Joint Surgery (American). 2007;89:2298-2307.
© 2007 The Journal of Bone and Joint Surgery, Inc.
Instructional Course Lecture |
Locking Plates: Tips and Tricks
Wade R. Smith, MD1,
Bruce H. Ziran, MD2,
Jeff O. Anglen, MD3 and
Philip F. Stahel, MD1
1 Department of Orthopedic Surgery, Denver Health Medical Center, University of
Colorado School of Medicine, 777 Bannock Street, Denver, CO 80204. E-mail
address for W.R. Smith:
wade.smith@dhha.org
2 Department of Orthopaedic Surgery, St. Elizabeth Health Center, Youngstown, OH
44501
3 Department of Orthopaedics, Indiana University School of Medicine,
Indianapolis, IN 46202
An Instructional Course Lecture, American Academy of Orthopaedic
Surgeons
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Introduction
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Locking plates are fracture fixation devices with threaded screw holes,
which allow screws to thread to the plate and function as a fixed-angle
device1-3.
These plates may have a mixture of holes that allow placement of both locking
and traditional nonlocking screws (so-called combi
plates)4,5.
The first locking plates were introduced about two decades ago for use in
spinal and maxillofacial
surgery6-8.
In the late 1980s and into the 1990s, experimentation with various types of
internal fixation devices led to the development of locking plates for
fracture
care9-11.
The initial emphasis was on developing stable fixation that would not require
extensive soft-tissue stripping or
disruption12. The
clinical care impetus for development of these plates has been a combination
of factors, including the increasing survival of patients with high-energy
injuries, aging Western European and North American populations with an
increasing rate of fragility . . . [Full Text of this Article]

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