Author presents the experiences with the use of LCP-distal radius plate by the distal radius fractures and by posttraumatic reconstructions of distal radius.

The poor functional result concerning the fractures of distal radius fractures and complications by osteosynthesis with LCP 3,5 mm for distal radius and it arises from several factors:

- incorrect indication to the osteosynthesis

- inexperiend operator

- insufficient reposition of fragments and insufficient stabilisation – type C fractures

- incorrect localisation of the plate

- neurological deficit – medianus nerve lesion

- deficient rehabilitation and poor functional treatment

Author looks upon the causes of failure by osteoesynthesis of fractures of distal radius.

In the years 2003 –2004 here were operated 29 fractures and 9 posttraumatic reconstructions of distal radius fractures with the LCP – distal radius 3,5 mm plate. The functional results show 63% excellent, 21% good, 7% satisfactory and 9% poor results. All these complications can be prevented by thorough judgment of X-rays and CT scans including the 2D and 3D reconstruction. The perfect reposition of the fragmants with the check on the X-ray C-arm and good localisation of the plate ensures good stability of osteosynthesis. The functional treatment involving the use orthesis or brace and early mobilisation and rehabilitation depend on the well technically performed osteosynthesis ensures a good functional result.

The author rates his experience of using PHILOS plate for two years for fractures of the proximal humerus.

The advantage of LCP plates is the angular stability of osteosynthesis, which is the assumption for an early mobilisation and rehabilitation of shoulder joint.

The poor functional result of the treatment of proximal humerus fractures is caused by difficulties and complications by osteosynthesis with the PHILOS plate and it arises from several factors:

- inexperienced operator

- insufficient reposition of the fracture and poor reconstruction of fracture of humeral tuberculi and rotator cuff of the humerus

- incorrect localisation and implantation of PHILOS plate

- neurological deficit – lesion of axillaris nerv

- deficient rehabilitation and poor functional after-treatment

Author looks upon the causes of failures by osteosynthesis of fractures of proximal humerus.

In the years 2003 – 2004 there were operated 34 fractures of proximal humerus with the PHILOS plate. The functional results – the evaluation of subjective difficulties and clinical evaluation show 56% excellent, 23% good, 11% satisfactory and 10% poor results.

All these complications can be prevented especially by through judgment of X-rays and CT scans, by precise depiction of the type of fracture and by the preoperative preparation of the surgeon. The perfect reposition of the fragments with the use of the X-ray control and good localisation of the plate ensures good stability of osteosynthesis. The functional after treatment involving the use orthesis or braccing and early mobilisation and rehabilitation depending on the well technically performed osteosynthesis ensures a good functional result.