Abstract
Balanced and stable fixation in metaphyseal fractures and nonunion can be difficult
because of osteoporosis, disuse osteopenia, comminution, joint proximity or malignant
infiltration. Five patients with nonunion and four with comminuted or pathological
acute fractures of metaphyseal areas of the tibia or humerus were treated with a ‘customised’
interlocked blade plate. The plates are standard AO dynamic compression plates of
a suitable length that are bent to an acute angle in an industrial vice and ‘interlocked’.
The nine patients with a mean age of 62.2 years (range 30–91) were followed up for
a mean of 7.2 months.
At follow-up all fractures had healed with a single complication of subacromial impingement
in a patient with a proximal humeral fracture.
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Article info
Publication history
Accepted:
October 18,
1999
Identification
Copyright
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
