Objective: To design a new kind of conical point contact plate (CPCP) in treatment of diaphyseal fracture to avoid further dam age to the blood supply of the cortex. Methods: There were 4 pairs of conicles with a diameter of 1. 5-4 mm beneath the plate symmetrically. The nibs of the conicles were embedd ed about 1-1.5 mm in the cortex by the axial force of screws. The conicle provided a gap about 2 mm between the plate and the bone so as not to compress the periosteum and cortex. And the periostem didnt need to be stripped off dur ing operation and there was no need of postoperative external fixation. Results: Forty-two cases with diaphyseal fracture were stabili zed by using CPCP. The patients could do joint exercise without loading after operation. Partial weight bearing could be performed in 4-6 weeks postoperati vely. There was no obvious external callus in these cases. The average time of b one healing was 3 months in the tibia and forearm fracture and 4 months in the f emur. Complications such as infection, non-union or malunion etc. were not foun d. The implant was removed 6-10 months after operation. Conclusions: CPCP has the advantages of drastic reduction of the implant-to-bone interface virtually, elimination of the impairment of the periosteal blood supply, increase of the rate of healing and good stability whi ch meets the need of early functional exercise.
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