Plate features

– Nine LCP Proximal Radius Plates available to address various fracture patterns of the proximal radius

– Plates are precontoured for anatomical fit

– Combi holes allow fixation with locking screws in the threaded section for angular stability, and cortex screws in the Dynamic Compression Unit (DCU) section for distraction. A fixed-angle construct provides advantages in osteopenic bone or multifragment fractures, where traditional screw purchase is compromised.

– Carefully apply for osteoporotic bone

Additional features

– Limited-contact design shaft with 2, 3, and 4 combi-holes

– The holes in the head of the plate accept 2.4 mm locking screws

– The shaft holes accept 2.4 mm locking screws in the threaded portion or 2.7 mm cortex screws and 2.4 mm cortex screws in the distraction portion

– Plates for radial head rim available in right and left plates with a 5º tilt to match the anatomy of the radial head

– Plates for radial head neck fit both the left and right side of the proximal radius

specifications

Proximal Radius Locking Plate: An Overview

When it comes to treating fractures of the proximal radius, locking plates are an effective solution. One of the most commonly used locking plates is the proximal radius locking plate (PRLP). In this article, we will explore everything you need to know about PRLPs, including their anatomy, indications, surgical technique, and potential complications.

Anatomy of Proximal Radius Locking Plate

The PRLP is a type of plate used to treat fractures of the proximal radius. It is a precontoured metal plate that is fixed to the lateral aspect of the proximal radius. The plate is designed to fit the shape of the bone, with holes for screws that lock into the bone to provide stability.

Types of Proximal Radius Locking Plate

There are several types of PRLPs available, including:

• Straight PRLP

• Contoured PRLP

• Prebent PRLP

The choice of PRLP used will depend on the specific fracture pattern, patient anatomy, and surgeon preference.

Indications for Proximal Radius Locking Plate

PRLPs are primarily used to treat fractures of the proximal radius. Fractures of the proximal radius can occur as a result of trauma, such as a fall on an outstretched hand, or as a result of a pathological condition, such as osteoporosis. The indications for PRLP use include:

• Non-displaced or minimally displaced fractures

• Displaced fractures

• Fractures associated with ligament injuries

• Comminuted fractures

• Fractures in patients with osteoporosis or poor bone quality

Surgical Technique for Proximal Radius Locking Plate

The surgical technique for PRLP involves several steps:

1. Patient positioning: The patient is positioned on the operating table, usually in the supine position with the arm on a hand table.

2. Incision: An incision is made on the lateral aspect of the proximal radius to expose the fracture site.

3. Reduction: The fracture is reduced using either closed reduction techniques or open reduction techniques.

4. Plate placement: The PRLP is then placed on the lateral aspect of the proximal radius and fixed in place with screws.

5. Closure: The incision is closed and a dressing is applied.

Potential Complications of Proximal Radius Locking Plate

As with any surgical procedure, there are potential complications associated with PRLP use. These can include:

• Infection

• Non-union or delayed union

• Hardware failure

• Nerve or vascular injury

• Implant prominence or irritation

Recovery and Rehabilitation

Recovery and rehabilitation following PRLP surgery will depend on the severity of the fracture and the patient's overall health. In general, patients will need to wear a splint or cast for several weeks following surgery. Physical therapy may also be necessary to regain strength and mobility in the affected arm.

Conclusion

Proximal radius locking plates are an effective solution for treating fractures of the proximal radius. With proper surgical technique and postoperative care, PRLP surgery can provide excellent outcomes for patients.

FAQs

Q: How long does it take to recover from PRLP surgery? 

A: Recovery time will depend on the severity of the fracture and the patient's overall health. In general, it can take several weeks to several months to fully recover.

Q: Are there any non-surgical options for treating fractures of the proximal radius? 

A: In some cases, non-surgical options such as immobilization and physical therapy may be effective for treating proximal radius fractures.

Q: Can PRLP surgery be done under local anesthesia?

A:Yes, PRLP surgery can be performed under local anesthesia, but this will depend on the patient's overall health and the extent of the surgery.

Q: What is the success rate of PRLP surgery? 

A: The success rate of PRLP surgery is generally high, with most patients experiencing good outcomes and returning to their normal activities.

Q: Is PRLP surgery a painful procedure? 

A: Patients may experience some pain and discomfort following PRLP surgery, but this can be managed with pain medication and proper postoperative care.

Q: Can PRLP surgery be performed on elderly patients with osteoporosis? A: Yes, PRLP surgery can be performed on elderly patients with osteoporosis, but the surgeon will need to take into consideration the patient's bone quality and overall health.