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!
10 year old Cleo sustained multiple pelvic fractures in a road traffic accident
Thank you for so many kind messages following our #RichHousePoorHouse episode last night
The image shows a post operative TECA LBO in a cat