TechniquesMesh Plates for Scapula FixationCamarda, Lawrence MD, PhD*; Phadnis, Joideep FRCS (Tr&Orth)†,‡; Clitherow, Harry D. MBChB, FRACS†,‡; Bain, Gregory I. MBBS, FRACS, PhD†,‡Author Information *Department of Orthopaedic Surgery, DICHIRONS, University of Palermo, Palermo, Italy †Department of Orthopaedic Surgery and Trauma, Flinders University ‡Department of Orthopaedic Surgery and Trauma, Flinders Medical Center, Adelaide, Australia The authors declare no conflict of interest. Reprints: Lawrence Camarda, MD, PhD, Department of Orthopaedic Surgery, DICHIRONS, University of Palermo, Via del Vespro 90100, Palermo, Italy (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: September 2015 - Volume 16 - Issue 3 - p 79-84 doi: 10.1097/BTE.0000000000000054 Buy Metrics Abstract While scapula fractures are often treated nonoperatively, there are a number of displaced fractures in which surgical treatment can be considered. When necessary, open reduction and internal fixation with plates is the accepted method for stabilization. However, there are limited options of commercially available plates for fixation of the scapula. The authors describe 2 cases of scapula fracture and 1 scapula osteotomy that were managed with internal fixation using low-profile mesh plates. The mesh plate is a stainless steel lattice that can be molded and trimmed to create a plate that matches the unusual 3-dimensional anatomy of the scapula. It accepts 2.4/2.7 mm cortical and variable angle locking screws which can be varied up to 15 degrees. We present our experience managing these complex cases, and how the use of the mesh plates facilitated the procedure. No complications were recorded and at final follow-up patients regained satisfactory shoulder function. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.