Locking Compression Plate fixation of radial and tibial fractures in a young dog

2005 ◽  
Vol 18 (03) ◽  
pp. 194-198 ◽  
Author(s):  
P. M. Montavon ◽  
C. S. Schwandt

SummaryA six-month-old, male Bernese Mountain Dog in which radius-ulna and tibia-fibula concomitant fractures were treated each with a 3.5 mm Locking Compression Plate (LCP) is presented. Both fractures were approached and plated medially. The tibial fracture had to be revised with a 4.5 mm intramedullary nail and a new 3.5 mm LCP at the second post-operative day because of fixation breakdown. The follow-up radiographs taken at days 14 and 53 revealed uneventful healing of both fractures. Implants were removed 53 days after surgery.

Author(s):  
Neetin P. Mahajan ◽  
Mrugank A. Narvekar ◽  
Lalkar L. Gadod ◽  
G. S. Prasanna Kumar

<p class="abstract"><strong>Background:</strong> A variable consensus exists on the optimal management strategies for olecranon fractures. Though the mechanical properties of the conventional plates and the locking plates used show no difference, pre-contoured locking plates provide a significant advantage over non-locking plates in unstable fractures. The aim of the study was to compare clinical and radiological outcomes in the management of the comminute olecranon fractures by anatomically pre-contoured locking compression plates and the conventional plates.</p><p class="abstract"><strong>Methods:</strong> The present study was a prospective study of 50 patients with comminuted olecranon fracture, with 25 patients each randomized into two groups, those that underwent fixation of the fracture using a pre-contoured locking compression plate (group LCP) and those fixed using a conventional plate (3.5 mm reconstruction plate) (group CP). Patients were followed up to 1 year with functional outcome assessed at each follow-up with Mayo elbow performance score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean MEPS (LCP vs CP) at 1.5 (47 vs. 43.4) and 3 (67.4 vs 61.6) months follow up showed a statistically significant difference between the two groups, but the difference was not significant at 6 (86.4 vs 85.6) and 12 (88.4 vs 87) months. The time to union (4.3 months vs 5.0 months) was not significantly different between the groups. There were 11 complications in group LCP and 12 complications in group CP.</p><p class="abstract"><strong>Conclusions:</strong> In the present study, we suggest that the use of a pre-contoured locking compression plate provides better outcomes at earlier periods as compared to the conventional plate; thus, returning the patient to normal function at the earliest.</p>


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shan Fan ◽  
Mingming Yin ◽  
Yibo Xu ◽  
Cheng Ren ◽  
Teng Ma ◽  
...  

Abstract Background To investigate the clinical efficacy of locking compression plate fixation for the treatment of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity. Methods A retrospective analysis was conducted on 37 patients with femoral intertrochanteric fractures combined with preexisting proximal femoral deformity between January 2013 and July 2019. The patients included 24 males and 13 females aged from 23 to 69 years old, with an average age of 47.5 years. The preexisting proximal femoral deformities resulted from poliomyelitis sequela, proximal femoral fibrous dysplasia, malunion and implant failure combined with coxa vara after intramedullary nailing fixation. There were 6 cases of 31-A2.1, 6 cases of 31-A2.2, 20 cases of 31-A3.1, and 5 cases of 31-A3.2, determined based on the AO classification of intertrochanteric fractures. All fractures were managed through open reduction and locking plate fixation. The hip disability and osteoarthritis outcome score (HOOS) was used to assess hip function before injury and at the last postoperative follow-up. The short form 36 (SF-36) Health Survey Questionnaire was used to assess quality of life. Results Thirty-seven patients were followed up for 12 to 27 months (average, 20.7 months). All patients achieved bone healing within 5.1 months on average (range, 3 to 6 months). Postoperative complications included deep vein thrombosis in three patients, bedsores in one and delayed union in one patient. No other complications, such as surgical site infection, fat embolism, nonunion and re-fracture, were presented. There was no significant difference in the HOOS scores and the SF-36 Health Questionnaire outcomes at pre-injury and at the last postoperative follow-up (p > 0.05). Conclusions It is difficult to perform intramedullary fixation of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity, while locking compression plate fixation is a simple and effective method of treatment.


2021 ◽  
pp. 30-32
Author(s):  
M. Ganesh Kumar ◽  
M. Sivakumar

Proximal tibial fractures, one of the commonest intra articular fractures. Incidence of these fractures is increasing due to road trafc accidents. At the same time surgical treatment options for the same are also being modied continuously. Any fracture around the weight bearing joint like knee joint is of paramount importance as it would result in signicant morbidity. Hence the treatment of proximal tibial fractures has become a challenge for the orthopaedic surgeons. Methods: During the study period 31 patients were treated with locking compression plate on lateral side through anterolateral approach for varying types of tibial plateau fractures. Out of 31, 28 patients were available at nal follow up. The functional and radiological outcome assessed with Rasmussen scoring system. At the end of study stability of the knee joint assessed with standard stability tests. Results: Most of the patients were sustained injury following major road trafc accidents and most of them were males. At nal follow up the functional outcome was excellent in 65 % of patients and good to fair in 35% of patients. No patient had poor functional outcome, though 10% of patients had poor radiological outcome. At the end of study 3 patients had posterior laxity, 2 patients had lateral meniscal injury and 4 patients had varus laxity. Conclusion: The functional outcome of tibial plateau fractures treated with single lateral locking compression plate was satisfactory in all our patients. All patients had acceptable clinical outcome though few patients had poor radiological outcome. We found 32% of patients with instability at the end of our study


Author(s):  
J. P. V. Jebaraj ◽  
B. Sundararaja

<p class="abstract"><strong>Background:</strong> Fractures of proximal humerus bone needs immediate attention as the delayed treatment might result in non-union, malunion, and avascular necrosis which are responsible for the pain and dysfunction. The aim of the present study is to evaluate the functional outcome of displaced proximal humerus bone fractures that are surgically managed by locking compression plate and to assess the potential complication.</p><p class="abstract"><strong>Methods:</strong> The present study is the combination of both prospective and retrospective in which 30 patients with either Neer’s three part or Neer’s four-part proximal humerus fractures which were fixed with locking plate by a single surgeon. Functional outcome was measured by Constant Murley scoring (CMS) system.<strong></strong></p><p class="abstract"><strong>Results:</strong> The final follow-up of the study showed that 21 patients (70%) had the result that ranged from good to excellent score whereas, 6 patients (20%) had moderate score and 3 patients had poor score in functional outcome according to CMS system. During follow-up, 3 complications (10%) were encountered.</p><p class="abstract"><strong>Conclusions:</strong> The study concluded that proximal humerus locked compression plate is a valuable surgical method for the fixation of comminuted fractures of the proximal humerus as it is associated with excellent functional outcome. It also provides a stable fixation to permit early mobilization. Regaining medial cortical contact and establishing anatomical reductions decreases the complications that are associated with plate fixation.</p>


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