The limited-contact dynamic compression plate in the management of proximal humeral non-union

Injury ◽  
2004 ◽  
Vol 35 (11) ◽  
pp. 1137-1139 ◽  
Author(s):  
Neville W. Thompson ◽  
Stephanie C. Sloan ◽  
Andrew Adair ◽  
Shaun N. Simpson
Keyword(s):  
Dynamic Compression ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate

scholarly journals Functional Outcome of Shaft of Humerus Fractures Managed Surgically by Dynamic Compression Plating Technique

2021 ◽  
pp. 101-104
Author(s):  
Midhun Krishnan
Keyword(s):  
Functional Outcome ◽  
Plate Osteosynthesis ◽  
Dynamic Compression ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate ◽  
Male Preponderance ◽  
Humerus Fractures ◽  
Compression Plating ◽  
Dynamic Compression Plating

The study analyzed 20 cases of fracture shaft of hummers treated with Dynamic Compression Plate. There was a male preponderance in our study 17 (85%). Almost Also 13% of patients treated by functional bracing end up with cosmetically unacceptable angulation of>15%, whereas all operative procedures achieve good alignment of the fractured bone was observed. The rate of union in Plate osteosynthesis is 93% and the time of union is 16 - 20 weeks, and more than 90% united in 18 weeks and 7% went for non union.

scholarly journals Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

2019 ◽  
Vol 5 (5) ◽  
pp. 916
Author(s):  
Sagar Venkataraman ◽  
Prabhu Ethiraj ◽  
Arun Heddur Shanthappa Naik ◽  
Sachin Prakash Angadi
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Road Traffic ◽  
Dynamic Compression ◽  
Fracture Pattern ◽  
Plate Versus ◽  
Forearm Fractures ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Forearm fractures are common nowadays because of road traffic accident. It is important to achieve anatomical reduction of both bone forearm fractures to regain function of upper limb. This study is undertaken to observe functional and radiological outcome using two different surgical modalities like dynamic compression plating (DCP), and intramedullary nailing in both bone forearm fractures and also to indivualize the optimal treatment method for different fracture pattern.</p><p class="abstract"><strong>Methods:</strong> Our study included 60 patients with diaphyseal forearm fractures in adults presenting to orthopaedic outpatient department. Among 60 patients, 30 patients underwent open reduction and internal fixation by dynamic compression plate and other 30 patients underwent closed reduction/open reduction by square nail after detailed pre-operative evaluation.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study average union time in DCP group is 23.39 weeks and square nail group is 28.89 weeks. Union in DCP group was 27 (90%) and square nail group 22 (73.33%). Delayed union in DCP group was 03 (10%) and in Square nail group was 6 (20%), non-union in DCP group was 0 (nil) and in square nail group was 2 (06%).</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation with DCP plates for both bone diaphyseal forearm fractures gives good results with early union rates. We also found that in open fractures and complex fracture like segmental fractures square nailing was better option compared to dynamic compression plate to reduce infection rates, retain periosteal blood supply from soft tissue. Thus we conclude that both implants are equally important and we should prioritize based on preoperative planning.</p>

scholarly journals Gambaran Luaran Fungsional Tatalaksana Pasien Neglected Fraktur Sub-trokanter Menggunakan Reversed Distal Femur Limited Contact Dynamic Compression Plate di Rumah Sakit Bhayangkara Manado

e-CliniC ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Lilik Rifai ◽  
Rangga B. V. Rawung ◽  
Angelica Wagiu
Keyword(s):  
Functional Outcome ◽  
Distal Femur ◽  
Dynamic Compression ◽  
Harris Hip Score ◽  
Inclusion Criteria ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Femur Fractures ◽  
High Incidence ◽  
Compression Plate

Abstract:  Subtrochanter fracture is still a health problem due to the difficulty of treatment and the high incidence of non-union and malunion after treatment. Limited Contact-Dynamic Compression Plate (LC-DCP), an implant designed to be used in distal femur fractures, is reported as an alternative for the treatment of subtrochanter fractures. This study was aimed to obtain the functional outcome of neglected subtrochanter fractures using reversed distal femur LC-DCP at Bhayangkara Hospital Manado. This was a retrospectoive study using the medical record and by-phone evaluation of patients with neglected subtrochanter that were managed with the reversed distal femur LC-DCP in 2018-2019 at Bhayangkara Hospital, Manado. Patients were evaluated with the Harris Hip Score (HHS). The results showed that there were 6 patients who met the inclusion criteria and could be contacted by phone. The HHS results showed 6 patients of poor category (mean score of 25.6) at 3 months after surgery; 3 patients of poor category and 3 patients of fair category (mean score of 66.4) at 6 months after surgery; and 4 patients of good category and 2 patients of excellent category (mean score of 89.9) at 12 months after surgery. In conclusion, the functional outcomes of the patients were poor category at 3 months after surgery, poor to fair at 6 months after surgery, and good to excellent at 12 months after surgery.Keywords: functional outcome, neglected subtrochanter fracture, reversed distal femur limited contact – dynamic compression plate, Harris hip score Abstrak: Fraktur subtrokanter masih merupakan masalah kesehatan karena sulitnya penanganan dan tingginya angka kejadian non-union dan malunion setelah penanganan. Limited contact-dynamic compression plate (LC-DCP) yaitu implan yang dirancang untuk fraktur femur bagian distal dilaporkan dapat dijadikan alternatif untuk penanganan fraktur subtrokanter. Penelitian ini bertujuan untuk memperoleh gambaran luaran fungsional tatalaksana pasien neglected fraktur subtrokanter menggunakan reversed distal femur LC-DCP di RS Bhayangkara Manado. Jenis penelitian ialah retrospektif menggunakan data rekam medis dan evaluasi melalui telepon pada pasien dengan neglected fraktur subtrokanter yang ditatalaksana menggunakan reversed distal femur LC-DCP pada tahun 2018-2019 di RS Bhayangkara Manado. Pasien dievaluasi dengan Harris Hip Score (HHS). Hasil penelitian mendapatkan 6 pasien yang memenuhi kriteria inklusi. Hasil evaluasi HHS mendapatkan 6 pasien kategori poor (rerata skor 25,6) saat 3 bulan pasca operasi; 3 pasien kategori poor dan 3 pasien fair (rerata skor 66,4) saat 6 bulan pasca operasi dengan; dan 4 pasien kategori good dan 2 pasien dengan kategori excellent (rerata skor 89,9) saat 12 bulan pasca operasi. Simpulan penelitian ini ialah luaran fungsional pasien-pasien tersebut ialah HHS poor pada 3 bulan pasca operasi; HHS poor-fair 6 bulan pasca operasi; dan HHS good-excellent pada 12 bulan pasca operasi.        Kata kunci: luaran fungsional, neglected fraktur subtrokanter, reversed distal femur limited contact – dynamic compression plate, Harris hip score

scholarly journals A biomechanical comparison of 3.5 locking compression plate fixation to 3.5 limited contact dynamic compression plate fixation in a canine cadaveric distal humeral metaphyseal gap model

2009 ◽  
Vol 22 (04) ◽  
pp. 1-8 ◽  
Author(s):  
O. Lanz ◽  
R. McLaughlin ◽  
S. Elder ◽  
S. Werre ◽  
D. Filipowicz
Keyword(s):  
Axial Compression ◽  
Dynamic Testing ◽  
Dynamic Compression ◽  
Plate Fixation ◽  
Locking Compression Plate ◽  
Locking Plates ◽  
Gap Model ◽  
Static Compression ◽  
Dynamic Compression Plate ◽  
Compression Plate

Summary3.5 locking compression plate (LCP) fixation was compared to 3.5 limited contact dynamic compression plate (LC-DCP) fixation in a canine cadaveric, distal humeral metaphyseal gap model. Thirty paired humeri from adult, large breed dogs were separated into equal groups based on testing: static compression, cyclic compression, and cyclic torsion. Humeral constructs stabilized with LCP were significantly stiffer than those plated with LCDCP when loaded in static axial compression (P = 0.0004). When cyclically loaded in axial compression, the LCP constructs were significantly less stiff than the LC-DCP constructs (P = 0.0029). Constructs plated with LCP were significantly less resistant to torsion over 500 cycles than those plated with LC-DCP (P<0.0001). The increased stiffness of LCP constructs in monotonic loading compared to constructs stabilised with non-locking plates may be attributed to the stability afforded by the plate-screw interface of locking plates. The LCP constructs demonstrated less stiffness in dynamic testing in this model, likely due to plate-bone offset secondary to non-anatomic contouring and occasional incomplete seating of the locking screws when using the torque-limiting screw driver. Resolution of these aspects of LCP application may help improve the stiffness of fixation in fractures modeled by the experimental set-up of this investigation.

scholarly journals Treatment Results Of Diaphyseal Forearm Fractures With Dynamique Compression Plate A Retrospective study of 156 Cases.

2015 ◽  
Vol 2 (2) ◽  
pp. 36-39
Author(s):  
Hassan Boussakri ◽  
Abdelhalim Elibrahimi ◽  
Mohammed Bachiri ◽  
Ahmed Bouziane Ouaritini ◽  
Mohammed Shimi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Traffic Accidents ◽  
Dynamic Compression ◽  
Young Male ◽  
University Hospital ◽  
Forearm Fractures ◽  
Dynamic Compression Plate ◽  
Orthopedic Department ◽  
Compression Plate ◽  
Male Patients

This retrospective study addresses a series of 156 cases of forearm fractures. These 156 cases were managed in the trauma-orthopedic department (B4) of Fez University Hospital, Morocco, from May 2008 till January 2013. The purpose of this study is to analyze epidemiological and clinical factors of diaphyseal forearm fractures and the results of their treatment with dynamic compression plate (DCP), as well as the complications and therapeutic errors of this surgical technique. The frequency of hospitalization in the trauma-orthopedic department was 3,96%. Ages ranged between 16 and 83, the average age was 32. 132 patients were male (85%). 90% were managed at the day of trauma. Traffic accidents were the most frequent cause in 52% patients. The fracture was in the left forearm in 65% of patients. 53% of fracture lines were in the middle third of the forearm. 38 fractures were open, and 30 were admitted for polytrauma. Osteosynthesis was performed with dynamic compression plate for all patients. In comparison with the literature, our series shows the predominance of young male patients, with traffic accidents being the cause. Osteosynthesis with dynamic compression plate remains the treatment of choice that provides satisfactory results if the accuracy in this technique was respected.

scholarly journals Successful utilization of triphasic silica containing ceramic coated hydroxyapatite (HASi) for the treatment of comminuted tibial fracture in a goat: a case report

2021 ◽  
Vol 52 (2) ◽  
Author(s):  
Rahul Rao ◽  
P. T. Dinesh ◽  
S. Sooryadas ◽  
George Chandy ◽  
Manju Mathew
Keyword(s):  
Hind Limb ◽  
Tibial Fracture ◽  
Dynamic Compression ◽  
Weight Bearing ◽  
Segmental Defect ◽  
Dynamic Compression Plate ◽  
Comminuted Fracture ◽  
Compression Plate ◽  
History Of ◽  
One Year

A one year old female Sirohi crossbred goat was presented with a history of non weight bearing lameness on right hind limb. Radiography revealed comminuted fracture of tibial mid diaphysis. The comminuted fracture fragments and bone devoid of any soft tissue were surgically removed and the resultant segmental defect was reinstated with triphasic silica containing ceramic coated hydroxyapatite (HASi) after stabilising the fracture fragments with 2.7mm dynamic compression plate and screws. The animal recovered with normal limb ambulation after the eighth post-operative week.

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