Blade plates, also known as angled blade plates, are a type of orthopedic hardware used for reconstructing subtrochanteric femoral fractures, including therapeutic fractures during derotational osteotomies.
Blade plates were an advance on earlier fixation nails such as the Y nail or the Zicker nail. Although they continue to be used, in many centers they have been superseded by more advanced intramedullary nail designs. Some consider blade plates to be relatively technically demanding to place, but with good outcomes in experienced hands 2.
Blade plates may also be used to reconstruct tibial fractures.
- 1. Taljanovic MS, Hunter TB, Miller MD et-al. Gallery of medical devices: part 1: orthopedic devices for the extremities and pelvis. Radiographics. 2005;25 (3): 859-70. doi:10.1148/rg.253055010 - Pubmed citation
- 2. Joglekar SB, Lindvall EM, Martirosian A. Contemporary management of subtrochanteric fractures. Orthop. Clin. North Am. 2015;46 (1): 21-35. doi:10.1016/j.ocl.2014.09.001 - Pubmed citation