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Review Article from Symposium
Pitfalls and Complications in the Application of the Locking Plate
Jong-Keon Oh, M.D.
Journal of the Korean Fracture Society 2007;20(4):355-360.
DOI: https://doi.org/10.12671/jkfs.2007.20.4.355
Published online: June 14, 2016

Department of Orthopaedic Surgery, Korea University School of Medicine, Seoul, Korea.

Address reprint requests to: Jong-Keon Oh, M.D. Department of Orthopaedic Surgery, Korea University School of Medicine, Guro Hospital, 80, Guro 2-dong, Guro-gu, Seoul 152-703, Korea. Tel: 82-2-2626-3089, Fax: 82-2-2626-1164, jkoh@korea.ac.kr

Copyright © The Korean Fracture Society. All rights reserved

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Fig. 1

A photo shows 3.5 locking head screws with stripped hexagonal recess.

jkfs-20-355-g001.jpg
Fig. 2

Conical extraction screws and drills for the removal of the stripped head16) (Oh et al, with permission).

jkfs-20-355-g002.jpg
Fig. 3

Two of the three proximal locking screws seem to be placed through the posterior cortex itself because the plate is placed too posteriorly to the femoral shaft.

jkfs-20-355-g003.jpg
Fig. 4

Subtle malposition of the plate can result in failure of the locking head screw fixation.

(A) Unusual resistance during the drilling prompted us to check this image, finding the drill bit was passing through the anterior cortex itself.
(B) True lateral image shows just a little bit of plate malposition.
(C) The most distal hole has to be filled with a conventional screw due to the plate malposition.
jkfs-20-355-g004.jpg

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        Pitfalls and Complications in the Application of the Locking Plate
        J Korean Fract Soc. 2007;20(4):355-360.   Published online October 31, 2007
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      Pitfalls and Complications in the Application of the Locking Plate
      Image Image Image Image
      Fig. 1 A photo shows 3.5 locking head screws with stripped hexagonal recess.
      Fig. 2 Conical extraction screws and drills for the removal of the stripped head16) (Oh et al, with permission).
      Fig. 3 Two of the three proximal locking screws seem to be placed through the posterior cortex itself because the plate is placed too posteriorly to the femoral shaft.
      Fig. 4 Subtle malposition of the plate can result in failure of the locking head screw fixation. (A) Unusual resistance during the drilling prompted us to check this image, finding the drill bit was passing through the anterior cortex itself. (B) True lateral image shows just a little bit of plate malposition. (C) The most distal hole has to be filled with a conventional screw due to the plate malposition.
      Pitfalls and Complications in the Application of the Locking Plate

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