Acta Chir Orthop Traumatol Cech. 2010; 77(5):361-364 | DOI: 10.55095/achot2010/063

Stable Fixation of Osteoporotic Fractures and Nonunions in the Upper Limb - Life Before the "Locking Plate"Current concepts review

J. B. JUPITER, H. WYSS
Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, USA

I have had a wonderful opportunity over the past 30 years to surgically reconstruct many complex fractures and nonunions in the upper limb in the elderly patient with underlying osteoporosis and prior to the development of the "locked plate".
This article will present a number of specific techniques using standard LC-DCP and screw in a variety of applications to provide stable internal fixation. These include the use of long plates; creating a "waved plate" initially described by Blatter and Weber; double plating; 3.5 mm intramedullary plate combined with a larger plate on the cortex; custom and machined blade plates as well as enhancement of screw fixation with bone cement and/or Norian SRS cement.

Published: October 1, 2010  Show citation

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JUPITER JB, WYSS H. Stable Fixation of Osteoporotic Fractures and Nonunions in the Upper Limb - Life Before the "Locking Plate". Acta Chir Orthop Traumatol Cech. 2010;77(5):361-364. doi: 10.55095/achot2010/063. PubMed PMID: 21040646.
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