This study aims to investigate the effect of early and delayed injury minimally invasive percutaneous plate osteosynthesis on the treatment of distal tibial metaphyseal comminuted fracture. This study involved 90 patients with distal tibial metaphyseal comminuted fractures for treatment of minimally invasive percutaneous plate osteosynthesis between February 2012 and October 2014 in our hospita...

Complex periarticular fractures of the long bones are difficult to treat. Classic intramedullary osteosynthesis do not provide a stable fixation (Wiss et al., 1986), while open reduction and rigid fixation by classic plates (recommended in the 60s-70s) is requiring large incisions with important deperiostation. Potential complications as infections, consolidation delays and construct damage due...

PURPOSE To review outcomes of 10 patients who underwent plate osteosynthesis for severe olecranon fractures. METHODS Records of 7 men and 3 women aged 33 to 73 years who underwent plate osteosynthesis for severe olecranon fractures were reviewed. All had some degree of soft-tissue injury; 6 presented with associated fractures. Seven patients were treated with a limited contact dynamic compres...

PURPOSE To assess the results of concurrent intramedullary nailing plus plate osteosynthesis for fractures of the distal tibia and fibula. METHODS 15 men and 10 women (mean age, 35 years) with concurrent fractures of the distal tibia and fibula underwent intramedullary nailing (for the tibia) and plate osteosynthesis (for the fibula). 17 fractures were type A1, 6 type A2, and 2 type A3. Compo...

Fractures behind the mental foramen can be sufficiently stabilized by only one plate. In this area there are two anatomical danger points. The apex of the canine is normally long and may lie close to the osteosynthesis line. Therefore, it is necessary to make sure that the drill holes are placed beside the apex and do not damage them. If this is not possible with a simple four-hole plate, a fou...

background the management of distal tibia fractures continues to remain a source of controversy and debate. objectives the aim of this study was to evaluate the various complications of minimally invasive percutaneous plate osteosynthesis (mippo) using a locking plate for closed fractures of distal tibia in a retrospective study. patients and methods twenty-five patients with distal tibial frac...

This paper presents the results of numerical analysis aimed at determining the state of stresses and displacements of compression plate used in osteosynthesis of tibia, carried out by applying finite element method using the ANSYS program. The analysis took into account two variants of the osteosynthesis. Variant I included the osteosynthesis in which plate was attached directly to the bone, in...

BACKGROUND Implant breakage after the fixation of traumatic fractures is rare; however, when it occurs, it is debilitating for the patients and a challenge for surgeons. The purpose of this study was to analyze and identify the independent risk factors for implant breakage of traumatic fractures treated with plate osteosynthesis. METHODS We reviewed the medical records of patients with a frac...

Magnesium alloys are candidates for resorbable material in bone fixation. However, the degradation and performance of osteosynthesis plate/screw systems in vivo, under cyclic deformation, is unknown. We evaluated the outcomes of human standard-sized magnesium plate/screw systems with or without plasma-electrolytic surface modifications in a miniature pig rib model. Of a total of 14 minipigs, si...

PURPOSE OF THE STUDY Can minimally invasive intramedullary osteosynthesis of distal radius fractures provide better therapeutic results than multidirectional locking plates. Retrospective study of 68 patients operated for distal radius fractures, 18 were treated with intramedullary X-screw (XSCR) fixation and 50 with the multidirectional angle-stable plate system (APTUS). The evaluation at 1-ye...