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Orthopedic surgeon making adjustments to a metal plate in a patient's ankle. An orthopedic plate is a form of internal fixation used in orthopaedic surgery to hold fractures in place to allow bone healing [1] and to reduce the possibility of nonunion. Most modern plates include bone screws to help the orthopedic plate stay in place.
The mortise view is an AP x-ray taken with the ankle internally rotated 15-20 degrees since the foot is naturally externally rotated relative to the ankle. [9] In addition to these views, a full-length view of the tibia and fibula may be necessary to evaluate for injuries to the proximal fibula associated with Maisonneuve fractures .
X-ray of trimalleolar fracture repair with plate and nails. Surgical repair using open reduction and internal fixation is generally required, and because there is no lateral restraint of the foot, the ankle cannot bear any weight while the bone knits. This typically takes six weeks in an otherwise healthy person, but can take as much as twelve ...
Once the fragments are reduced, the reduction is maintained by application of casts, traction, or held by plates, screws, or other implants, which may in turn be external or internal. It is very important to verify the accuracy of reduction by clinical tests and X-ray, especially in the case of joint dislocations.
Most growth plate fractures heal without any lasting effects. [1] Rarely, bridging bone may form across the fracture, causing stunted growth and/or curving. [1] In such cases, the bridging bone may need to be surgically removed. [1] A growth plate fracture may also stimulate growth, causing a longer bone than the corresponding bone on the other ...
Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. [2] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta ...
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...