scholarly journals Breakage of a volar locking compression plate in distal radial fracture

Injury Extra ◽  
2009 ◽  
Vol 40 (4) ◽  
pp. 77-80 ◽  
Author(s):  
Shinji Imade ◽  
Yukio Matsuura ◽  
Wataru Miyamoto ◽  
Hideaki Nishi ◽  
Yuji Uchio
2005 ◽  
Vol 13 (2) ◽  
pp. 153-157 ◽  
Author(s):  
KK Wong ◽  
KW Chan ◽  
TK Kwok ◽  
KH Mak

Purpose. To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. Methods. Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. Results. At final functional assessment, 24 patients achieved excellent and 5 achieved good outcomes, with one patient exhibiting fair results. Radiological scores demonstrated 22 excellent and 8 good outcomes. No nonunion or infection occurred. Conclusion. Volar locking compression plating is a safe and effective treatment for unstable fractures of the dorsal distal radius.


2012 ◽  
Vol 97 (1) ◽  
pp. 61-65 ◽  
Author(s):  
S. Giannotti ◽  
P. Alfieri ◽  
L. Magistrelli ◽  
F. Casella ◽  
L. Palmeri ◽  
...  

2018 ◽  
Vol 31 (06) ◽  
pp. 438-444 ◽  
Author(s):  
Noel Moens ◽  
John Runciman ◽  
Tom Gibson ◽  
Gwyneth Watrous

Objectives The purpose was to compare the biomechanical properties of a 1.5 mm locking compression plate (1.5 LCP) to the 1.5 mm straight plate (1.5 P), 1.5 mm straight plate stacked (1.5 PSt) and 2.0 mm straight plate (2.0 P) in compression and torsion. We hypothesized that biomechanical properties of the 1.5 LCP would be equivalent to properties of the 1.5 P and would represent an alternative for the treatment of radial fractures in miniature breed dogs in which those plates would be used. Materials and Methods A 1 mm fracture gap model was created with a bone surrogate stabilized with a six-hole plate. Sixteen constructs were built for each of the four plate configurations. Eight constructs from each group were tested in compression to failure and eight constructs were tested in torsion to failure. Results In compression testing, the 1.5 LCP was stiffer than the 1.5 P, and had similar stiffness than the 1.5 PSt and the 2.0 P. The load at yield of the 1.5 LCP was slightly lower than the 1.5 P. In torsion, the 1.5 LCP and 1.5 P had similar stiffness, but 1.5 LCP was slightly stronger than 1.5 P. The 1.5 PSt and 2.0 P were overall superior to the 1.5 LCP but only marginally so for the 1.5 PSt. Clinical Relevance The 1.5 LCP can be considered biomechanically equivalent to the 1.5 P under the present experimental conditions. The use of the 1.5 LCP can be considered as an option for radial fracture repair in dogs in which a 1.5 P would have otherwise been used. The use of a locking plate to improve overall success rate, in these fractures, remains to be confirmed clinically.


2011 ◽  
Vol 15 (2) ◽  
pp. 57-61
Author(s):  
Wong Hing-Cheong ◽  
Wong Hin-Keung ◽  
Wong Kam-Yiu

Objective The aim of this retrospective study was to analyse the clinical outcome of the application of stainless steel 2.0-mm locking compression plate (LCP) system for the treatment of comminuted hand fractures in Asian adults. Methods Six patients who had comminuted hand fractures were treated by open reduction and internal fixation with the application of stainless steel 2.0-mm LCP (AO Compact Hand System; Synthes, Oberdorf, Switzerland) from December 2009 to October 2010. The total arc of motion of fingers, grip power, complications, and additional surgery were recorded. Results Three out of six patients eventually restored good hand functions in terms of the total arc of finger motion (>220°) and grip power. The commonest complication was skin impingement in finger region by the implant (4 cases). Another common complication was restricted range of motion (3 cases). One patient had minimal degree of malrotation of his left little finger. Additional surgery was required in all the patients for implant removal (6 cases), tenolysis (3 cases), and capsulotomy (2 cases). Conclusions The stainless steel 2.0-mm LCP is useful for the fixation of unstable comminuted hand fractures, especially in metacarpal bones, because of its advantage of better stability, which allows more aggressive rehabilitation. However, its design is not very versatile and, therefore, limits its use in the finger region. Its bulkiness frequently causes implant impingement. The patients must be informed about the chance of implant removal later.


2015 ◽  
Vol 39 (11) ◽  
pp. 2227-2237 ◽  
Author(s):  
Yu Zhou ◽  
Yanbiao Wang ◽  
Lifeng Liu ◽  
Zhenyu Zhou ◽  
Xuecheng Cao

2011 ◽  
Vol 103 (4) ◽  
pp. 378
Author(s):  
Gregory E. Gilbert ◽  
Amy H. Wahlquist

2018 ◽  
Vol 31 (05) ◽  
pp. 356-363 ◽  
Author(s):  
Anton Fürst ◽  
Elisabeth Ranninger ◽  
José Suárez Sánchez-Andrade ◽  
Jan Kümmerle ◽  
Christoph Kühnle

Objectives It was recently shown that biomechanical stability achieved with a locking compression plate (LCP) for ventral cervical fusion in horses is similar to the commonly used Kerf cut cylinder. The advantages of the LCP system render it an interesting implant for this indication. The goal of this report was to describe surgical technique, complications and outcome of horses that underwent ventral fusion of two or three cervical vertebrae with an LCP. Methods Medical records of eight horses were reviewed for patient data, history, preoperative grade of ataxia, diagnostic imaging, surgical technique and complications. Follow-up information was obtained including clinical re-examination and radiographs whenever possible. Results Two (n = 5) or 3 (n = 3) cervical vertebrae were fused in a mixed population with a median age of 9 months, median weight of 330 kg and median grade of ataxia of 3/5. A narrow 4.5/5.0 LCP (n = 6), a broad 4.5/5.0 LCP (n = 1) and a human femur 4.5/5.0 LCP (n = 1) were applied. Two horses were re-operated due to implant loosening. Six patients developed a seroma. Long-term complications included ventral screw migration in four, spinal cord injury in one and plate breakage in two horses at 720 to 1116 days after surgery. Outcome was excellent in three, good in four, poor in one patient. Clinical Significance The use of an LCP for ventral cervical vertebral fusion is associated with good clinical results. However, a careful surgical technique is required to further reduce the complication rate.


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