This OKO topic reviews the development of locked plating in surgical fracture care. The concept of a locked "internal fixator" changed the traditional approach to fracture plating. The authors describe the technique of locked plating, its indications and contraindications, pearls and pitfalls, and briefly discuss the outcomes achieved through its use.
The authors provide thorough discussions of surgical fracture stabilization and the strains occurring at the fracture site, primary and secondary bone healing, and plate biomechanics. This topic focuses on the LISS System (Less Invasive Stabilization System), and includes video of the surgical procedure.
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