Articles

Cases

Courses

SCHEDULED DOWNTIME: We will be performing a database migration that will result in the site being unavailable for approximately 1 hour starting at UTC: Monday, 20 May 2024 11:00 PM (check your local time here

Buttress plate

Changed by Joachim Feger, 10 Dec 2021

Back to revision history

Updates to Article Attributes

Body was changed:

Show markup changes

Buttress plates are osteosynthetic implants commonly used in the metaphyseal area for internal fixation of articular fractures to support intraarticular fragments.

Usage

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.

Indications

They are used in many types of articular fractures and include the following ^1-6:

Chauffeur fracture
Barton fracture
reverse Barton fracture: volar locking plate
proximal tibial split fracture or split depression fracture
vertical medial malleolus fracture
posterior malleolus fracture
coronoid process fracture
femoral condyle fractures
femoral neck fractures
sternoclavicular joint dislocation

-<p><strong>Buttress plates</strong> are osteosynthetic implants commonly used in the metaphyseal area for internal fixation of articular fractures to support <a href="/articles/intra-articular-fragments-1">intraarticular fragments</a>.</p><h4>Usage</h4><p>They are used to counteract vertical shear forces during axial loading in the metaphyseal area and to prevent sliding/shortening of the fracture fragments.</p><p>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.</p><h4>Indications</h4><p>They are used in many types of articular fractures and include the following <sup>1-6</sup>:</p><ul>
+<p><strong>Buttress plates</strong> are osteosynthetic implants commonly used in the metaphyseal area for internal fixation of articular fractures to support <a href="/articles/intra-articular-fragments-2">intraarticular fragments</a>.</p><h4>Usage</h4><p>They are used to counteract vertical shear forces during axial loading in the metaphyseal area and to prevent sliding/shortening of the fracture fragments.</p><p>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.</p><h4>Indications</h4><p>They are used in many types of articular fractures and include the following <sup>1-6</sup>:</p><ul>

References changed:

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. <a href="https://doi.org/10.1186/2047-783x-14-5-200">doi:10.1186/2047-783x-14-5-200</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19541576">Pubmed</a>
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. <a href="https://doi.org/10.1097/bot.0000000000000699">doi:10.1097/bot.0000000000000699</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/27755282">Pubmed</a>
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. <a href="https://doi.org/10.1186/s12891-016-1278-2">doi:10.1186/s12891-016-1278-2</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/27716315">Pubmed</a>
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. <a href="https://doi.org/10.1016/j.cjtee.2019.05.005">doi:10.1016/j.cjtee.2019.05.005</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/31492574">Pubmed</a>
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. <a href="https://doi.org/10.1016/j.injury.2019.08.024">doi:10.1016/j.injury.2019.08.024</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/31455504">Pubmed</a>
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. <a href="https://doi.org/10.1007/s00167-018-5298-3">doi:10.1007/s00167-018-5298-3</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/30478469">Pubmed</a>
1. Yu Z, Zheng L, Zhang Y, Li J, Ma B. Functional and radiological evaluations of high-energy tibial plateau fractures treated with double-buttress plate fixation. Eur J Med Res. 2009;14(5):200-5. <a href="https://doi.org/10.1186/2047-783x-14-5-200">doi:10.1186/2047-783x-14-5-200</a>
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):664-669. <a href="https://doi.org/10.1097/BOT.0000000000000699">doi:10.1097/BOT.0000000000000699</a>
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. <a href="https://doi.org/10.1186/s12891-016-1278-2">doi:10.1186/s12891-016-1278-2</a>
4. Lor K, Toon D, Wee A. Buttress plate fixation of coronoid process fractures via a medial approach. Chin J Traumatol. 2019;22(5):255-260. <a href="https://doi.org/10.1016/j.cjtee.2019.05.005">doi:10.1016/j.cjtee.2019.05.005</a>
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):1895-1900. <a href="https://doi.org/10.1016/j.injury.2019.08.024">doi:10.1016/j.injury.2019.08.024</a>
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. 2019;27(1):251-258. <a href="https://doi.org/10.1007/s00167-018-5298-3">doi:10.1007/s00167-018-5298-3</a>