Indications & Contraindications
of Bone plates in orthopedic surgery


Fractures, or broken bones, are extremely common. On average, every person will experience two broken bones over the course of a lifetime. In the US there are about 2 million fractures each year




While some fractures are not that severe and may heal with casting or other type of immobilization, many other fractures will require surgery.

which lead us to bone plates.



The bone plate is made of Titanium or Stainless steel and designed in various shapes and lengths to address various types of bone fractures with help of special screws and surgical instruments


INDICATIONS

While the fractrues are the main indications they are not the only, here is various indications for bone plates:

  • In all bonIn all bone fracture detection problems:

  • Intraarticular fractures

  • In all Open-Closed-Simple-Fracture-Segmented fractures

  • Trochanteric-Subtrochanteric femur fractures

  • Diaphyseal fractures

  • Supracondylar fractures

  • Condylar-Intercondylar fractures

  • Fractures of more than one region of the same femur

  • In cases of poor union or nonunion

  • Shortening osteotomies

  • Tumor resections



CONTRAINDICATIONS

General contraindications for the use of these implants include but are not limited to:

  • Acute or chronic, local or systemic infections

  • All concomitant diseases that may impair the fixation of the implant

  • Significant bone demineralization or insufficient quality or quantity of bone

  • blood supply limitations 

  • Inadequate skin or musculotendinous system.

  • Allergy to the implanted material.

  • Severely comminuted fractures in which bone fragments are too small or numerous to adequately fix or maintain a reduced position 

  • Psychologically unsuitable patient, which may cause patients to ignore the limitations and precautions of the implanted material, leading to implants fracture and complication.

  • Alcohol or drug addict

  • Any patient unwilling to cooperate with the post‐operative instructions.

  • Pregnancy

Contraindications may be relative or absolute. Users of this device must carefully weigh the advantages against possible complications and consider the patient's entire clinical exam in addition to the items listed above.

 


Cortical & Cancellous Screws
What's the difference and the indications