Surgical Approaches to the humerus are technically demanding because of important neurovascular structures on the lateral and medial aspects of the bone and a large amount of surrounding musculature. Many options are suitable for fracture fixation and the decision making is based around the following considerations:
– type of fracture
– patient age, size and nature
– surgeons experience
– implants available
– expense of the procedure
Whether by choice or necessity any time the diaphysis is not anatomically reconstructed, the plate becomes responsible for resisting the applied load. It must be able to withstand all forces at the fracture gap until clinical healing is achieved.
The principle behind locking plates is the creation of a construct which addresses motion between the bone and plate that occurs with conventional plating. Conventional plates loaded axially in tension/ or compression rely on applied force to convert to shear stress at the plate-bone interface which compromises periosteal blood flow and healing. Locking plates try to address this to overcome problems, especially in patients with osteoporotic, comminuted or pathologic bone because problems arise with screw purchase.
Want to learn more about locking plates?
Locking plates are the most significant advancement in orthopedic surgery in the last 25 years. Are you using locking plates? If not, is it because you do not understand the concepts or applications of these devices? Hopefully, this workshop will provide you with something that will make your surgical life easier and more predictable. Locking plates combine the best features of rigid internal fixation and external fixation. There are many uses for this and you will see the advantages locking plates have to offer in this excellent two day practical workshop. This workshop is specially designed for vets who need skills training on basic fracture repair or for any vet with limited experience in the use of locking plates.
Fractures with Locking Plates Workshop
17th – 18th Nov
Charles Sturt University
Wagga Wagga NSW