Plate:rod stabilisation of a mid-diaphyseal comminuted femoral fracture, achieving load-sharing and so using a 12hole 3.5mm Dynamic Compression Plate together intramedullary pin.
The pin provides alignment for plate placement at surgery, but will also significantly contribute to the bending force resistance of the construct, despite its relatively narrow gauge.
The dynamic compression plate was chosen instead of a locking plate, in this case, as load sharing was achievable at the fracture site and screws can be deviated to skirt the pin.
If a locking plate is used for a plate:rod construct, some screws will typically be monocortical (though the increased strength of a locking plate means some monocortical and some blind holes in a plate of this length would be perfectly acceptable).
And no, I don’t know why it’s called a plate:rod rather than a plate:pin stabilisation!
Important to slightly OVER contour the plate to the outline of the bone
This lovely feedback from a retired human orthopaedic theatre nurse has made us all chuckle too
Otto recovers from bilateral elbow coronoidectomy and PAUL procedures (Proximal Abducting Ulnar Osteotomies)