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Expanding the Indications for Mini Plates in the Orthopedic Trauma Scenario: A Useful Alternative Technique for Maintaining Provisional Reduction and Improving Stability for Complex Periarticular Fracture Fixation of the Upper Limbs.
Giordano, Vincenzo; Pires, Robinson Esteves Santos; Pesántez, Rodrigo; Kojima, Kodi; Koch, Hilton A.
Afiliação
  • Giordano V; Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil.
  • Pires RES; Clínica São Vicente, Rio de Janeiro, Brazil.
  • Pesántez R; Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Kojima K; Departamento de Ortopedia, Universidad de los Andes, Bogotá, Colombia.
  • Koch HA; Instituto de Ortopedia e Traumatologia, Universidade de São Paulo, São Paulo, Brazil.
J Orthop Case Rep ; 8(3): 42-46, 2018.
Article em En | MEDLINE | ID: mdl-30584514
INTRODUCTION: The use of mini plates as a reduction tool is an elegant technique for temporary stabilization of multifragmentary fractures. For some complex periarticular fractures with severe comminution close to the articular surface, mini plates seem to be a better option than K-wires for provisional as well as definitive fixation, because of the presence of small fragments and proximity to the joint increases the risk of additional fragmentation and articular penetration, respectively. CASE REPORT: Five cases of complex periarticular fractures of the upper limb are presented. We used 2.3 mm mini plates as reduction plates for different situations, including one scapula fracture, one clavicle fracture, one distal humerus fracture, one proximal ulna fracture, and one distal radius fracture. In all cases, an excellent clinical outcome with a full return to pain-free activity was achieved after a minimum follow-up of 12 months. CONCLUSION: We feel that these mini extra-articular implants are particularly helpful as temporary reduction tools before the application of the definitive implant to a reduced and stabilized the fracture. Because they have longer screws allowing better cortical purchase and low-profile allowing plate overlap, the procedure seems to be faster and easier when compared to the use of temporary K-wires and clamps.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Case Rep Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Índia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Orthop Case Rep Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Índia