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See Latest ArticlesFailure of Fracture Plate Fixation
Journal of the American Academy of Orthopedic Surgeons, 10/16/09
Gardner MJ et al. – Common mechanical reasons for failure include malreduction, inadequate plate length or strength, and excessive or insufficient construct stiffness. Reliance on laterally based implants in the presence of medial comminution may be a cause of fixation failure and subsequent deformity, particularly with conventional nonlocking implants. Management of dead space with cement or beads has been effective in conjuction with staged approaches. An antibiotic cement rod in the diaphysis may provide fracture stabilization. Locking full–length constructs should be considered for osteoporotic fractures.
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