The Journal of Bone and Joint Surgery (American). 2007;89:2298-2307.
© 2007 The Journal of Bone and Joint Surgery, Inc.
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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

The first 150 words of the full text of this article appear below.


    Introduction
 
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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