Contraindications
Absolute:
• Health condition precluding surgery.
• Allergic reactions to the metal from which the implant is made.
• Active infection.
Relative:
• Weakened bone (by disease, infection or prior implantation) making it impossible to install/stabilize the implant properly.
• Abnormal perfusion of fracture area.
• Excessive obesity.
• Lack of adequate tissue coverage.
• Psychiatric disorders or the disorders of the musculoskeletal system which may create a risk of fusion failure or complications in the postoperative period.
• Other medical conditions that exclude the potential benefits of the treatment.
Procedure stages
• Reduction of fracture and stabilization of the fracture fragments using Kirschner wires.
• The choice of implants - determining the length and position of the implant.
• Insertion of the plate and its positioning.
• Temporary stabilization of the implant using Kirschner wires.
• Introduction of the screws in the distal parts of the plate.
• Stabilization of the shaft using locking or compression screws.
• Making X-Ray films as to make sure the plate and screws are positioned properly.
• Wound closure.