Orthopedic plate
Orthopedic Plate
An Orthopedic Plate is a form of internal fixation used in orthopedic surgery to hold fractures in a fixed position. Orthopedic plates are used to stabilize broken bones, allowing for proper healing and recovery.
History
The use of orthopedic plates in surgery dates back to the early 20th century. The first recorded use of a metal plate to stabilize a fracture was by Alois Leibinger in 1902. Since then, the design and materials used in orthopedic plates have evolved significantly.
Design and Materials
Orthopedic plates are typically made from stainless steel or titanium, and are designed to fit specific areas of the body. The shape and size of the plate will depend on the location and type of fracture. Some plates are pre-contoured to fit certain bones, while others can be shaped by the surgeon during the operation.
Types of Orthopedic Plates
There are several types of orthopedic plates, each designed for a specific purpose. These include:
- Compression Plates: These are used to bring fractured bone fragments together and hold them in place.
- Locking Plates: These have screw holes that lock the screws in place, providing more stability.
- Neutralization Plates: These are used to protect a fracture site from external forces.
- Bridging Plates: These are used when a fracture has multiple fragments that cannot be directly fixed.
Surgical Procedure
During surgery, the orthopedic plate is positioned over the fracture and screws are inserted through the holes in the plate into the bone. The number and placement of screws depend on the specific fracture and the type of plate used. Once the plate is securely attached, the incision is closed and the healing process begins.
Complications
While orthopedic plates are generally safe and effective, complications can occur. These may include infection, nonunion (where the bone does not heal), malunion (where the bone heals in an incorrect position), and hardware failure.
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Contributors: Prab R. Tumpati, MD
