Supracondylar osteotomy of the paediatric femur using the locking compression plate: a refined surgical technique.
Reinald Brunner, Carlo Camathias, Mark Gaston, Erich Rutz
J Child Orthop | British Editorial Society of Bone & Joint Surgery | Published : 2013
Locking compression plates (LCP) have been developed for paediatric patients, and these provide safe bone fixation and allow for immediate weight-bearing. These plates are becoming increasingly popular and are proving to especially useful for the treatment of proximal and distal (supracondylar) femoral osteotomies. They are thought to provide better grip in osteoporotic bone. The technique has been described in the provider's manual as well as recently by Joeris et al. (Int Orthop 2012: 36:2299-2306). The LCP system offers optimal stability after the final fixation, but temporary fixation using the originally described method is unstable, and we consider the medialisation instrument unsatisf..View full abstract