Overlap Connecting Plate for Treating Facture
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Date
2010-02-19
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The Thai Journal of Orthopaedic Surgery
Abstract
Short segmented and comminuted fractures usually require special implants such as the special long plate or interlocking nailing system for the fixation. These implants or instruments may not be available in most hospital in Thailand or in the developing countries. This paper presents an improvise technique of using the overlap connecting plate to overcome this problem. The method have been successfully applied in fifteen patients who had segmented or comminuted fractures. Seven cases were treated by using condylar plate with broad dynamic compression plate (DCP) for femoral fractures, four were fixed bysmall T-plate with small DCP for distal radius fractures and another four were fixed by using T-plate with narrow DCP for tibial fractures. The operation time and blood loss were not exceed the average of ordinary operating procedure. All fractures were united in 4 months post operation. All patients could have early ambulation or mobilization program post operation and the injured limbs had returned to normal function at the time of final visits.The overlap connecting plate is an alternative method for treating complicated fractures. Special considerations of the method include; minimum of six cortices in each fragment fixation is required, plate must seat well on the bone, the thinner plate should be placed underneath the thicker one, the blade plate should be placed over the normal DCP. The overlap connection plate has been found simple and effective. The instrument and implants are familiar to the surgeon and are available in most hospitals.
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The Thai Journal of Orthopaedic Surgery; Volume 31 Number 1 March 2006; 28 - 31