A new plate for internal fixation—the dynamic compression plate (DCP)

Injury ◽  
1970 ◽  
Vol 2 (1) ◽  
pp. 40-47 ◽  
Author(s):  
M. Allgöwer ◽  
S. Perren ◽  
P. Matter
1996 ◽  
Vol 09 (03) ◽  
pp. 106-10 ◽  
Author(s):  
E. Egger ◽  
J. Huhta ◽  
M. Histand ◽  
C. Mallinckrodt ◽  
R. Nye

SummaryA long oblique osteotomy model of canine femoral fractures was created to compare six methods of internal fixation. The following methods were tested: three cerclage wires, three lag screws, eight-hole dynamic compression plate attached with six cerclage wires, eight-hole dynamic compression plate attached with six cortical screws, eight-hole dynamic compression plate attached with six cortical screws superimposed over three cerclage wires, and an eight-hole dynamic compression plate attached with six cortical screws superimposed over three lag screws. The repaired femurs were mounted in a mechanical testing machine in an orientation designed to mimic physiological loading. Axial compression was applied which resulted in the test specimens experiencing simultaneous compressive and bending forces. The effects of the method of osteotomy repair, bone temperature, and bone diameter were analyzed. The maximum load and the stiffness of the composite fixation and bones were determined. There were not any statistically significant differences in stiffness among the groups. All fixation methods, in which plates were attached with screws, resulted in significantly greater maximum load values than treatment techniques where plates were not used. None of the fixation methods attained a mean maximum load greater than 58% of the mean maximum load of the control femurs.Six methods of commonly used internal fixation methods are compared. A method of in vitro positioning of test femurs to mimic in vivo orientation is presented. Maximum load capabilities of fixation do not significantly increase with the addition of interfragmentary compression to plate fixation.


Author(s):  
Sagar Venkataraman ◽  
Prabhu Ethiraj ◽  
Arun Heddur Shanthappa Naik ◽  
Sachin Prakash Angadi

<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>


2012 ◽  
Vol 25 (05) ◽  
pp. 421-426 ◽  
Author(s):  
N. Fitzpatrick ◽  
M. Farrell ◽  
A. Belch

SummaryTwo Domestic Shorthaired cats were admitted after sustaining multiligamentous injuries of the stifle joint. In one cat, prosthetic ligamentous reconstruction was unsuccessful at maintaining normal stifle stability. Both cats were treated with stifle arthrodesis using internal fixation with a plate and screws without external coaptation. In one case, arthrodesis was achieved using a 2.7 mm 16-hole dynamic compression plate placed medially. In the second case, a 2.7 mm 14-hole dynamic compression plate was placed cranially. No major complications were noted, and both cats were able to return to good levels of activity in the medium term.


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