ane27 AO Surgery Reference
Plate bending
close window
Options
General considerations
Contouring of the template
‘Trimming the plate
Filling plate holes with screws
Plate bending: general considerations
Plate bending: in-plane bendin
Plate bending: out-of-plane bending
Bending: bending iron:
PI nding: rquine
heck inst tem|
General considerations
Se,
enlarge
The locking reconstruction plate 2.4 is a very heavy and thick plate used to provide
maximal stability. This plate is difficult to bend due to its stiffness. Large and complex
bending is done most efficiently by using a template.
Several plate configurations are available with corresponding templates to satisfy alll
clinical situations.
If the plate will span the angle, preferably use prebent plates in order to avoid extreme
in-plate bending. Metal fatigue with plate fracture can result from excessive and/or
repetitive plate bending
The templates are very malleable and easy to configure. Note there are no screw holes
fabricated in the templates to prevent implanting these devices.
Basically, the same mode of bending and trimming applies to heavy locking plates 2.0,
ie, the large and extra-large profile variety.
Click here for the AO Teaching Video on bending of a reconstruction plate.
Contouring of the template
hipeulaww2 aoloundaton orgwpsiporalutiplatl_S}8CPykssyOxPLMnMzOvMAIG)ZOKN_AOMSD20Dbz8_UNMDRyDXOSdvOwMDAXSYEKMED:D... 1772ne2017 AO Surgery Reference
enlarge
First, adapt the template to the desired contour.
a2
enlarge
The template is used as a reference throughout the entire bending process.
Trimming the plate
enlarae
The template is used to determine the length of the plate, specifically the number of
holes necessary. The reconstruction plate is cut to the desired length using the
“shortcut” cutting device
Insert the reconstruction plate into the instrument where the desired cut is planned.
enlarge
Place the opposite instrument immediately adjacent to the desired cut. Both instruments
are gently squeezed together to cut the plate.
hipeiown2aofoundaton oppor 14_S}9CPykssyOxPLMriMzOMAIGiZOKN_AOM3D20Dbe9, UMIMORyDXOSdvOwMDAKSYEKMEDED.
anane27 AO Surgery Reference
enlarge
The instruments are separated and the desired cut is seen.
Filling plate holes with screws
Fill the threaded plate holes with bending insets. Insert them into those holes which will
later be filled with locking screws.
enlarge
Without these bending insets the holes become deformed and the precise seating of the
locking screws can no longer be guaranteed.
The use of the prebent plates can provide better screw seating as the major bends are
already completed and less manipulation is required by the surgeon.
Plate bending: general considerations
hipeiown2aofoundaton oppor 14_S}9CPykssyOxPLMriMzOMAIGiZOKN_AOM3D20Dbe9, UMIMORyDXOSdvOwMDAKSYEKMEDED.
araco so surpry Ralerence
enlarge
There are three types of bends necessary to adapt a plate.
In-plane bending
Out-of-plane bending
Torquing
Plate bending: in-plane bending
enlarae
With the bending pliers, the plate can be bent in two planes.
In the first step, bend the plate in plane.
The appropriate slot is marked on the bending pliers. Guide the plate in gradually
through the opening of the pliers, according to the curvature required.
enlarge
Check against template
Check the curvature of the plate against the template repeatedly during the in-plane
bending of the plate.
When the process is finished, the curvature is checked again against the template.
hipaa? aoloundaton orgwpsporialutiplatI4_S}8CPykssyOxPLMnMzvMAIGiZOKN_AOMSD20Dbz8,_UNMDRyDXOSdvOwMDAXSYEKMED