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Click here to access this Full-length streaming video Polyaxial Locked-Plate Fixation of Periarticular Fractures of the Knee
George Haidukewych, MD
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Over the last decade, locked-plate fixation has become popular for the treatment of complex fractures of the distal part of the femur and the proximal part of the tibia. This technology, coupled with the biological advantages of percutaneous insertion, has resulted in high union rates and generally good outcomes in patients with fractures that historically have been difficult to treat.
One of the major shortcomings of first-generation locked plates is the inability to angle the screw in the threaded hole. Although the predetermined angle of the threaded hole is often adequate, obstacles to periarticular fixation can be encountered. In this JBJS Video Supplement, Dr. George Haidukewych reviews the benefits of variable-axis (polyaxial) screws and plates in the surgical management of periarticular fractures about the knee and demonstrates the versatility of the system. See the Corresponding JBJS Article:
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