Use of mini-fragment plates in fracture fixation

Journal of Clinical Orthopaedics | Vol 6 | Issue 2 |  Jul-Dec 2021 | page: 2-7 | Vikas Kulshrestha, Abin Stanley, Santhosh Kumar, Munish Sood

Author: Vikas Kulshrestha [1], Abin Stanley [1], Santosh Kumar [1], Munish Sood [2]

[1] Department of Orthopaedics, Command Hospital Air Force Station, Bengaluru, Karnataka, India

[2] Department of Orthopaedics, INHS Asvini, Mumbai, Maharashtra, India

Address of Correspondence
Lt Col Munish Sood,
Department of Orthopaedics & Traumatology, INHS Asvini, Mumbai – 500 004, Maharashtra, India.


Background: Over the last two decades improved research in basic sciences has resulted in a better understanding of pathomechanics of skeletal injury. Today we have modern implants and instrumentation which can allow fracture fixation while minimizing soft tissue trauma. The use of mini fragment low profile locking plates is one such technique that is now increasingly being used to implement fragment specific fracture fixation in skeletal injuries.
Methods: At our level III military trauma centre we introduced the use of mini fragment plates in all types of fracture types in 2019 and over the next twelve months we prospectively recorded data of 44 fracture cases of various long and small bones. We have used these plates with different objectives in various intraarticular, metaphyseal or diaphyseal fractures in a manner to augment, supplement or substitute the use of larger implants. We have described the exact method of use in each case.
Results: Out of 44 cases in 42 we achieved fracture union with no loss of reduction and in one case there was a failure of fixation and in one case infected nonunion.
Conclusion: Mini-fragment plates are a very efficient tool available to carry out reduction and fixation of many fracture types and should be kept as a part of instrumentation and implant set for all cases of fracture fixation.

Keywords: Mini-fragment plates, fragment specific, fracture fixation


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How to Cite this article: Kulshrestha V, Stanley A, Kumar S, Sood M. ‘Use of mini-fragment plates in
fracture fixation’. Journal of Clinical Orthopaedics July-Dec 2021;6(2):2-7.

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