scholarly journals Original Fixation Technique for Periprosthetic Humeral Fractures: Locking Plate for Lockable Stem

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
BERTRAND Damien ◽  
LASCAR Tristan ◽  
PELEGRI Cedric ◽  
SRIKUMARAN Uma ◽  
BEAUDOUIN Emmanuel ◽  
...  
2021 ◽  
pp. 107110072110335
Author(s):  
Sarah Ettinger ◽  
Lisa-Christin Hemmersbach ◽  
Michael Schwarze ◽  
Christina Stukenborg-Colsman ◽  
Daiwei Yao ◽  
...  

Background: Tarsometatarsal (TMT) arthrodesis is a common operative procedure for end-stage arthritis of the TMT joints. To date, there is no consensus on the best fixation technique for TMT arthrodesis and which joints should be included. Methods: Thirty fresh-frozen feet were divided into one group (15 feet) in which TMT joints I-III were fused with a lag screw and locking plate and a second group (15 feet) in which TMT joints I-III were fused with 2 crossing lag screws. The arthrodesis was performed stepwise with evaluation of mobility between the metatarsal and cuneiform bones after every application or removal of a lag screw or locking plate. Results: Isolated lag-screw arthrodesis of the TMT I-III joints led to significantly increased stability in every joint ( P < .05). Additional application of a locking plate caused further stability in every TMT joint ( P < .05). An additional crossed lag screw did not significantly increase rigidity of the TMT II and III joints ( P > .05). An IM screw did not influence the stability of the fused TMT joints. For TMT III arthrodesis, lag-screw and locking plate constructs were superior to crossed lag-screw fixation ( P < .05). TMT I fusion does not support stability after TMT II and III arthrodesis. Conclusion: Each fixation technique provided sufficient stabilization of the TMT joints. Use of a lag screw plus locking plate might be superior to crossed screw fixation. An additional TMT I and/or III arthrodesis did not increase stability of an isolated TMT II arthrodesis. Clinical Relevance: We report the first biomechanical evaluation of TMT I-III arthrodesis. Our results may help surgeons to choose among osteosynthesis techniques and which joints to include in performing arthrodesis of TMT I-III joints.


PLoS ONE ◽  
2018 ◽  
Vol 13 (10) ◽  
pp. e0206349 ◽  
Author(s):  
Jan Theopold ◽  
Stefan Schleifenbaum ◽  
Mirijam Müller ◽  
Michael Werner ◽  
Niels Hammer ◽  
...  

2017 ◽  
Vol 26 (5) ◽  
pp. 781-785 ◽  
Author(s):  
Hongeun Cha ◽  
Ki-Beom Park ◽  
Seungbae Oh ◽  
Jinyoung Jeong

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