Abstract
Background/aimThe success of treatment of bone fracture and defects are based on a proper contact and compression between the bone fracture fragments. Intraoperative manipulations such as bone compression or distractions are generally done in order to achieve this. However, none of the bone plates currently in routine use allow these manipulations after fixation to the bone, requiring refixation and repeated drilling, and screwing operations. Based on this shortcoming, we designed a novel adjustable bone plate (ABP) system which allows bone shortening and lengthening even after fixation to the bone surface. The aim of the paper is to clarify the unique properties of the novel bone plate.Materials and methodsIn this paper, the new generation adjustable bone plate applicability, design, indication, and new characteristics in addition to conventional bone plates with review of the literature were discussed and surgical technique was demonstrated in a saw bone model.Results This novel design allows for compression and distraction at the fracture ends post fixation as well as bone segment transfers.ConclusionsThe potential of the new generation ABP plate for use in bone compression, distraction, and the segmental bone transfer is a promising invention for clinical applications in the future.
Highlights
Orthopaedic implants such as intramedullary nails, external fixators, plates, and screws are most commonly used devices in the orthopaedics practice especially in the treatment of fracture cases [1,2,3]
Materials and methods: In this paper, the new generation adjustable bone plate applicability, design, indication, and new characteristics in addition to conventional bone plates with review of the literature were discussed and surgical technique was demonstrated in a saw bone model
This novel design allows for compression and distraction at the fracture ends post fixation as well as bone segment transfers
Summary
Orthopaedic implants such as intramedullary nails, external fixators, plates, and screws are most commonly used devices in the orthopaedics practice especially in the treatment of fracture cases [1,2,3]. They can be used in bone deformity corrections, bone lengthening, and reconstructions following bone resections [4,5]. In treatment of bone lengthening and bone defects, commonplace lengthening devices are external fixators and intramedullary devices. Each has its drawbacks [6,7,8]. A novel adjustable bone plate system designed by our research team which allows bone shortening and lengthening even after fixation to the bone surface is presented
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