Pitfalls and Complications in the Application of the Locking Plate

Jong-Keon Oh

doi:10.12671/jkfs.2007.20.4.355

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Oh: Pitfalls and Complications in the Application of the Locking Plate

Review Article from Symposium

Journal of the Korean Fracture Society 2007; 20(4): 355-360.

Published online: 14 June 2016

DOI: https://doi.org/10.12671/jkfs.2007.20.4.355

Pitfalls and Complications in the Application of the Locking Plate

Jong-Keon Oh, M.D.

Department of Orthopaedic Surgery, Korea University School of Medicine, Seoul, Korea.

Address reprint requests to: Jong-Keon Oh, M.D. Department of Orthopaedic Surgery, Korea University School of Medicine, Guro Hospital, 80, Guro 2-dong, Guro-gu, Seoul 152-703, Korea. Tel: 82-2-2626-3089, Fax: 82-2-2626-1164, jkoh@korea.ac.kr

Figures and Tables

Fig. 1

A photo shows 3.5 locking head screws with stripped hexagonal recess.

Fig. 2

Conical extraction screws and drills for the removal of the stripped head16) (Oh et al, with permission).

Fig. 3

Two of the three proximal locking screws seem to be placed through the posterior cortex itself because the plate is placed too posteriorly to the femoral shaft.

Fig. 4

Subtle malposition of the plate can result in failure of the locking head screw fixation.

(A) Unusual resistance during the drilling prompted us to check this image, finding the drill bit was passing through the anterior cortex itself.

(B) True lateral image shows just a little bit of plate malposition.

(C) The most distal hole has to be filled with a conventional screw due to the plate malposition.

References

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