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Citation:
Feger J, Buttress plate. Reference article, Radiopaedia.org (Accessed on 17 Jan 2025) https://doi.org/10.53347/rID-82256
Buttress plates are osteosynthetic implants commonly used in the metaphyseal area for internal fixation of articular fractures to support intraarticular fragments.
They are used to counteract vertical shear forces during axial loading in the metaphyseal area and to prevent sliding/shortening of the fracture fragments.
Pre-contoured anatomical or stiff plates can be used. The latter requires intraoperative contouring. They can be used with or without lag screws to cause a buttress effect meaning one fragment is pushed against the other and into a reduced fracture position especially during axial loading.
They are used in many types of articular fractures and include the following 1-6:
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1. Yu Z, Zheng L, Zhang Y, Li J, Ma B. Functional and Radiological Evaluations of High-Energy Tibial Plateau Fractures Treated with Doublebuttress Plate Fixation. Eur J Med Res. 2009;14(5):200. doi:10.1186/2047-783x-14-5-200 - Pubmed
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2. Bennett C, Behn A, Daoud A et al. Buttress Plating Versus Anterior-To-Posterior Lag Screws for Fixation of the Posterior Malleolus: A Biomechanical Study. J Orthop Trauma. 2016;30(12):664-9. doi:10.1097/bot.0000000000000699 - Pubmed
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3. Weng C, Wu C, Feng K, Tseng I, Lee P, Huang Y. Comparison of Supraintercondylar and Supracondylar Femur Fractures Treated with Condylar Buttress Plates. BMC Musculoskelet Disord. 2016;17(1):413. doi:10.1186/s12891-016-1278-2 - Pubmed
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4. Lor K, Toon D, Wee A. Buttress Plate Fixation of Coronoid Process Fractures via a Medial Approach. Chinese Journal of Traumatology. 2019;22(5):255-60. doi:10.1016/j.cjtee.2019.05.005 - Pubmed
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5.Li J, Yin P, Zhang L, Chen H, Tang P. Medial Anatomical Buttress Plate in Treating Displaced Femoral Neck Fracture a Finite Element Analysis. Injury. 2019;50(11):1895-900. doi:10.1016/j.injury.2019.08.024 - Pubmed
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6. Gerich T, Hoffmann A, Backes F, Duinslaeger A, Seil R, Pape D. Anterior Buttress Plate is Successful for Treating Posterior Sterno-Clavicular Dislocation. Knee Surg Sports Traumatol Arthrosc. 2018;27(1):251-8. doi:10.1007/s00167-018-5298-3 - Pubmed
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