Authors of section


Cassio Ferrigno

Executive Editor

Amy Kapatkin

General Editor

Noel Moens

Open all credits

Plate preparation

1. Non-locking plates

Non-locking plates must be anatomically contoured to the surface of the bone.

If a dynamic compression or limited contact dynamic compression plate is used, it needs to be contoured accurately to the medial surface of the bone.

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In most cases, optimal plate contour to the bone is achieved by: bending the midshaft area and twisting the proximal area.

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2. Locking plates

Locking plates may need some contouring; they should not be more than 2 mm away from the surface of the bone.

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3. Compression plates

Compression plates must be prestressed to produce a 1-2 mm gap between the plate and the bone at the fracture sites. Over bending of the plate at the fracture lines ensures even compression across the fracture lines.

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4. Relation between plate function and load bearing

  1. When using a compression plate, the load is evenly shared between the implant and the bone column.
  2. When using a neutralization plate, the load is shared between the implants and the bone column.
  3. When using a bridging plate, the load is completely bared by the implant.

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