State of the locking apparatus has been studied in 22 patients with Crohn's disease free of the anorectal complications. Even prior to the development of these complications caused by metabolic abnormalities and inflammatory changes in the intestinal wall the locking apparatus undergoes certain functional changes.
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A biomechanical study of locking spongious screws and failure rates are higher than expected in plate fixation.
Sci Rep
January 2025
Departmant of Orthopedics and Traumatology, Liv Ulus Hospital, Istanbul, Turkey.
Locking plates have a rapidly growing process especially in the past decades and results are satisfactory especially in the osteoporotic bones compared to non-locking compression plates. There are many forms of failure in the fracture fixation of locking plates, and screw pull-out is one of the main failure reasons. In this study, we aim to investigate pull-out failure in locking plates using locking spongious screws.
View Article and Find Full Text PDFSurgical Fixation of Flail Chest Injuries: Reduction and Fixation Options, Tips and Tricks.
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Modern techniques of rib fracture fixation surgery follow the AO principles of fracture reduction, fixation, and appropriate soft tissue handling. Fixation techniques can be performed using anatomic reduction and rigid fixation, or bridge plate fixation for comminuted fractures. Anatomic and nonanatomic plates can be used, although titanium precontoured locking plates are the most commonly used.
View Article and Find Full Text PDFTreatment of a collapse fracture of the anterolateral tibial plateau with a lateral locking plate and the Jail screw technique.
BMC Surg
January 2025
Department of Orthopedics, Nanjing Drum Tower Hospital Group Suqian Hospital, Suqian, China.
Background: To explore the advantages of a lateral tibial locking plate combined with Jail screw fixation in the treatment of anterolateral tibial plateau collapse fracture (ATPCF).
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View Article and Find Full Text PDFDistal augmentation in unstable distal clavicle fractures: a retrospective cohort study of 101 cases.
Arch Orthop Trauma Surg
January 2025
The Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta Pei Road, Niao Sung Dist, Kaohsiung, Taiwan.
Introduction: The optimal management strategy for unstable distal clavicular fractures remains controversial. Recent studies on plate techniques have reported good-to-excellent outcomes with no serious complications. The questions are that: (1) Does the use of wire augmentation with locking plate in distal part (distal wire augmentation) reduce radiographic loss of reduction (RLOR) and get earlier bony union in distal clavicular fractures? (2) Which fixation methods are associated with a higher incidence of acromioclavicular (AC) joints arthritis or subluxation? We collected and analyzed clinical studies on different plate fixation methods for unstable fractures to identify the best surgical modality.
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