Evolving Technique Update: The Fibula Edward A. Perez, M.D. - PowerPoint PPT Presentation

Feb 27, 2023 •272 likes •654 views

Evolving Technique Update: The Fibula Edward A. Perez, M.D. Campbell Clinic/University of Tennessee Memphis, TN Dr. Gus Sarmiento Orthopaedic Industrial Complex - A. Sarmiento Why? Evolution or Intelligent Design? -Toney Russell What is

Evolving Technique Update: The Fibula Edward A. Perez, M.D. Campbell Clinic/University of Tennessee Memphis, TN
Dr. Gus Sarmiento
Orthopaedic Industrial Complex - A. Sarmiento
Why?
Evolution or Intelligent Design? -Toney Russell What is next ….. ???
Problems • Comorbidities
Problems • Compliance
Problems • Osteoporosis
Problems • Short segments
Locking Plates Are very powerful!
Locking Plates Enhance fixation
Locking Plates Come at a cost
Locking Plates Come at a cost $$
Locking Plates Come at a cost Biologic
Locking Plates Come at a cost Biologic
Low Profile Implants
Low Profile Implants?
Low Profile Implants?
When Do I Use Locking Plates for Fibula Fractures?
Bread and Butter • SER 4
1/3 Tubular Lag & Neutralization Plate • Low profile • Inexpensive • Proven
1/3 Tubular Lag & Neutralization Plate • Low profile • Inexpensive • Proven • 70%
SER: Locking Plate • Very low fractures • Osteopenic bone
SER: Locking Plate • Very low fractures • Osteopenic bone
Pronation Abduction (PAB) • Comminution • Length unstable • Could have short segments
PAB
PAB
Weber C (PER) • Short segment • Poor bone
In Conclusion • Technology advances • Locked plates are powerful • Expensive • Soft tissue concern
In Conclusion • Short segments • Poor bone quality • Use judiciously
Thank You

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