From the Guidelines
For optimal stabilization of rib fractures, select a locking reconstruction plate that is at least 2.5 cm longer than the fracture site to ensure adequate fixation, as current rib repair systems perform best when there is adequate rib length on both sides of a fracture line to securely anchor fixation screws 1. When choosing a locking reconstruction plate, consider the specific fracture pattern, location, and patient anatomy.
- Recommended implants:
- Locking reconstruction plates with a length that allows for at least 2.5 cm of healthy rib on both sides of the fracture line
- Corresponding locking screws
- Plate lengths ranging from 4 to 24 holes
- Straight and pre-contoured plate options
- Select the appropriate plate length to span the fracture site with at least 3-4 screw holes on each side of the fracture, taking into account the location of the fracture and surrounding structures, such as costal cartilage anteriorly and transverse process posteriorly 1.
- Use pre-contoured plates for fractures in areas that are difficult to reach or require specific anatomical adaptation, such as the subscapular region 1.
- Choose screw length based on bone thickness, typically 6-18 mm, and ensure proper plate adaptation, using bicortical screw placement when possible 1. The locking technology creates a fixed-angle construct, enhancing fixation in poor quality bone, and the appropriate plate selection is crucial to ensure adequate stability and promote bone healing 1.
From the Research
Locking Reconstruction Plate Size Selection
There are no research papers to assist in answering this question, as the provided studies do not discuss the appropriate size selection for a locking reconstruction plate.
- The studies provided focus on:
- None of these studies address the topic of locking reconstruction plate size selection.