scholarly journals The Treatment of Subtrochanteric Fracture with Reversed Contralateral Distal Femoral Locking Compression Plate ( DF‐LCP ) Using a Progressive and Intermittent Drilling Procedure in Three Osteopetrosis Patients

2021 ◽  
Author(s):  
Yi Tu ◽  
Fan‐xiao Liu ◽  
Hong‐lei Jia ◽  
Juan‐juan Yang ◽  
Xiao‐long Lv ◽  
...  
2020 ◽  
pp. 1-3
Author(s):  
Ajay Krishna ◽  
Thiagrajan Pandian

Background and objective: Subtrochanteric fracture of femur and its complications account for significant morbidity and mortality especially in elderly.Proximal femoral locking compression plate helps in early Range of movements of the patient. Materials and Methods This study was done in SREE BALAJI MEDICAL COLLEGE AND HOSPITAL, CHROMEPETfrom August 2018 to May 2020.During this period 25 cases of adult patients with subtrochanteric fractures were treated with proximal femoral locking compression plate(PFLC). The classification used here was according to Seinsheimers and functional outcome was assessed using Traumatic hip rating score. Results: In our study of 25 patients 65% of them(16 patients) showed excellent results,30%(8 patients) showed good results,5%(1 patient)showed poor result due to Infection. Conclusion: Proximal femoral LCP is a good method for Subtrochanteric femur fractures in the elderly patients especially for severely communited fracture and with osteoporosis. Proximal femoral LCP gives the advantage of flexibility to surgeon to achieve angular stability or axial compression with plate to bone apposition.


Author(s):  
Rajesh Govindasamy ◽  
Ramkumar Gnanasundaram ◽  
Saravanan Kasirajan ◽  
Jimmy J Meleppuram ◽  
Kumar Archit

<p class="abstract"><strong>Background:</strong> Proximal femoral fractures are one of the most common fractures in old age patients. Fixation of these fractures is technically high demanding owing to the high risk of complications. The aim of our study is to analyze the outcomes of proximal femoral locking compression plate (PF-LCP) in these fractures.</p><p class="abstract"><strong>Methods:</strong> We retrospectively analyzed 18 proximal femoral fractures treated with PF-LCP from May 2012 to May 2015. There were 12 females (67%) and six males (33%) with an average age of 59.6 years (range, 32 to 84 years). The peritrochanteric fractures constituted by intertrochanteric and subtrochanteric fractures were classified by Boyd and Griffin classification along with Seinshemier’s classification, respectively. Among that, 14 cases (77%) were of intertrochanteric and four cases (23%) were of subtrochanteric fracture pattern. The functional outcome was evaluated by harris hip score and the parker palmer mobility score one year after surgery.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 18 patients, 16 patients obtained fracture union without further intervention; two patients required additional bone grafting. There were no cases of hip screw cutting the femoral head. There was no post-operative mortality in our study. The average harris hip score was 85.5 (83-94). The assessment by parker and palmar mobility score was 7.6 (range 4-9).</p><strong>Conclusions:</strong> The PF-LCP is a good stable alternative in the treatment of complex proximal femoral fractures. It provides good to excellent bone healing with limited complications.


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

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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